Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011
BCheck if applicable:
CName of organization
SEATTLE CHILDREN'S HOSPITAL
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
PO BOX 5371 MS RC-507
 
Room/suite
City or town, state or country, and ZIP + 4
SEATTLE, WA981455005
D Employer identification number

91-0564748
E Telephone number

G Gross receipts $ 1,032,614,625
F Name and address of principal officer:
THOMAS HANSEN MD
PO BOX 5371 MS RC-507
SEATTLE,WA981455005
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.SEATTLECHILDRENS.ORG
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1907
M State of legal domicile: WA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: AT SEATTLE CHILDREN'S HOSPITAL, WE WILL PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 23
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 21
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 5,309
6 Total number of volunteers (estimate if necessary) .... 6 851
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 2,075,272
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 552,155
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 91,110,848 109,050,088
9 Program service revenue (Part VIII, line 2g) ......... 665,004,815 717,569,080
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 9,760,859 32,753,835
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,415,575 4,554,899
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 769,292,097 863,927,902
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,951,531 4,468,797
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 348,135,636 382,749,549
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 363,344,028 397,743,508
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 713,431,195 784,961,854
19 Revenue less expenses. Subtract line 18 from line 12...... 55,860,902 78,966,048
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 1,511,039,931 1,603,702,328
21 Total liabilities (Part X, line 26)............ 662,376,562 695,794,835
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 848,663,369 907,907,493
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: AT SEATTLE CHILDREN'S HOSPITAL, WE BELIEVE ALL CHILDREN HAVE UNIQUE NEEDS AND SHOULD GROW UP WITHOUT ILLNESS OR INJURY. WITH THE SUPPORT OF THE COMMUNITY AND THROUGH OUR SPIRIT OF INQUIRY, WE WILL PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. (SEE THE COMMUNITY BENEFIT REPORT IN SCHEDULE O.)
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 617,444,998 including grants of $ 4,432,797 ) (Revenue $ 711,109,760 )
PATIENT CARE: SEATTLE CHILDREN'S HOSPITAL PROVIDES SUPERIOR MEDICAL CARE TO CHILDREN FROM WASHINGTON, ALASKA, MONTANA AND IDAHO, SERVING THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. IN ADDITION, FAMILIES LIVING BEYOND OUR PRIMARY SERVICE REGION INCREASINGLY SEEK CARE FROM OUR WORLD-RENOWNED SPECIALISTS IN PROGRAMS SUCH AS CANCER, ORGAN TRANSPLANTS AND CRANIOFACIAL SPECIALTIES. IN FISCAL YEAR 2011, CHILDREN'S MEDICAL TEAM TREATED KIDS OF ALL AGES DURING 323,292 PATIENT VISITS, INCLUDING 14,118 ADMISSIONS TO THE HOSPITAL AND 36,200 VISITS TO OUR EMERGENCY ROOM. WE PERFORMED 12,714 DAY SURGERIES AND CARED FOR CHILDREN DURING 260,260 APPOINTMENTS IN OUTPATIENT CLINICS.
4b (Code:   ) (Expenses $ 91,221,860 including grants of $ 36,000 ) (Revenue $ 4,852,991 )
RESEARCH: BECAUSE RESEARCH IS THE FOUNDATION OF SEATTLE CHILDREN'S MISSION TO PREVENT, TREAT, AND ELIMINATE PEDIATRIC DISEASE, SEATTLE CHILDREN'S HOSPITAL INVESTED $25.5 MILLION IN RESEARCH DURING FISCAL YEAR 2011. SEATTLE CHILDREN'S INVESTIGATORS ARE ADVANCING SCIENTIFIC UNDERSTANDING OF IMPORTANT BIOLOGICAL PROCESSES AND INFLUENCING THE PRACTICE OF PEDIATRICS AROUND THE WORLD.
4c (Code:   ) (Expenses $ 21,947,577 including grants of $   ) (Revenue $ 1,606,329 )
EDUCATION: SEATTLE CHILDREN'S HOSPITAL IS THE MAJOR RESOURCE FOR PEDIATRIC GRADUATE MEDICAL EDUCATION PROGRAMS IN OUR REGION. RESIDENTS AND FELLOWS FROM 75 PROGRAMS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) PLUS 3 PROGRAMS ACCREDITED BY THE AMERICAN DENTAL ASSOCIATION (ADA) HAD RESIDENTS OR FELLOWS AT SEATTLE CHILDREN'S HOSPITAL IN ACADEMIC YEAR 2011. SEATTLE CHILDREN'S HAS DEVELOPED CURRICULUM AND EVALUATION METHODS THAT ASSESS AND ASSURE RESIDENT COMPETENCY IN SIX MAIN AREAS: PATIENT CARE, MEDICAL KNOWLEDGE, PRACTICE-BASED LEARNING, INTERPERSONAL AND COMMUNICATIONS SKILLS, PROFESSIONALISM, AND SYSTEM-BASED PRACTICE.
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 730,614,435
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
Yes
 
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
Yes
 
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule MClick to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............ Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I........................... Click to see attachment
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
 
No
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
533
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
5,309
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
23
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
21
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
WA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
WARREN E HEWITT VP FINANCE
4300 ROOSEVELT WAY NE 5TH FLOOR
SEATTLE,WA981054718
(206) 987-4846
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) DEAN ALLEN
TRUSTEE
 4.00 X           0 0 0
(2) RHODA ALTOM
SECRETARY
 3.00 X   X       0 0 0
(3) LIBBY ARMINTROUT
TRUSTEE
 1.00 X           0 0 0
(4) ROBB BAKEMEIER
TRUSTEE
 8.00 X           0 0 0
(5) JOEL BENOLIEL
TRUSTEE
 2.00 X           0 0 0
(6) JANE BLAIR
TRUSTEE
 2.50 X           0 0 0
(7) ROSS BOGUE
TRUSTEE
 1.00 X           0 0 0
(8) PAT CHAR
TRUSTEE
 3.00 X           0 0 0
(9) NANCY DALY
TRUSTEE
 2.00 X           0 0 0
(10) MICHAEL DELMAN
TRUSTEE/TREASURER
 4.00 X   X       0 0 0
(11) BOB FLOWERS
TREASURER/VICE-CHAIR
 2.00 X   X       0 0 0
(12) MARY ANN FLYNN
TRUSTEE
 6.00 X           0 0 0
(13) GENIE HIGGINS
TRUSTEE
 4.00 X           0 0 0
(14) JUDY HOLDER
TRUSTEE
 3.00 X           0 0 0
(15) CYNTHIA HUFFMAN
TRUSTEE/SECRETARY
 4.00 X   X       0 0 0
(16) CILLA JOONDEPH
TRUSTEE
 5.00 X           0 0 0
(17) JIM LADD
CHAIR
 5.00 X   X       0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) SANDRA MADRID
TRUSTEE
 1.00 X           0 0 0
(19) CINDY MASIN
TRUSTEE
 3.00 X           0 0 0
(20) SUSAN MASK
TRUSTEE
 4.00 X           0 0 0
(21) RESA MOORE
TRUSTEE
 4.00 X           0 0 0
(22) JEFF NITTA
TRUSTEE
 5.00 X           0 0 0
(23) GLORIA NORTHCROFT
TRUSTEE
 2.00 X           0 0 0
(24) LAURIE OKI
TRUSTEE
 3.00 X           0 0 0
(25) ROB ROSKIN MD
NON-VOTING TRUSTEE
 2.00 X           0 0 0
(26) NANCY SENSENEY
TRUSTEE
 5.00 X           0 0 0
(27) PETE SHIMER
TRUSTEE
 2.00 X           0 0 0
(28) JAN SINEGAL
VICE-CHAIR
 10.00 X   X       0 0 0
(29) MICHELE SMITH
TRUSTEE
 2.00 X           0 0 0
(30) CHARLES STEVENS
TRUSTEE
 2.00 X           0 0 0
(31) THOMAS HANSEN MD
CEO/NON-VOTING TRUSTEE
 27.50     X       569,477 569,476 224,724
(32) KELLY WALLACE
SENIOR VP & CFO
 41.00     X       430,470 143,490 125,090
(33) PATRICK HAGAN
PRESIDENT & COO
 50.00       X     594,413 66,046 210,140
(34) DAVID FISHER MD
S.VP/MED.DIR./NON-VOTING T
 50.00       X     630,665 70,074 119,347
(35) DREXEL DEFORD
SENIOR VP & CIO
 55.00       X     560,986 0 95,445
(36) SANFORD MELZER MD
SENIOR VP - STRATEGIC PLAN
 41.00       X     302,399 221,963 122,555
(37) JAMES HENDRICKS MD
PRES RESEARCH INSTITUTE
 55.00       X     418,569 0 81,991
(38) LISA BRANDENBURG
SENIOR VP & CAO
 55.00       X     480,574 0 90,263
(39) JEFFREY SCONYERS
SR VP & GENERAL COUNSEL
 28.00       X     209,729 209,728 81,629
(40) EDWIN WRIGHT
VP & CHIEF TECH OFFICER
 55.00       X     406,983 0 35,742
(41) SUSAN HEATH
SENIOR VP & CNO
 55.00       X     359,442 0 65,453
(42) SUZANNE PETERSEN
VP - EXTERNAL AFFAIRS
 55.00       X     294,216 0 40,716
(43) STEVEN HURWITZ
VP - HR & SUPPLY CHAIN MGM
 55.00       X     313,576 0 33,752
(44) CARA BAILEY
VP - CONT. PERF. IMPROV.
 55.00       X     298,446 0 23,897
(45) ERIK LAUSUND
VP - RESEARCH & LOGISTICS
 55.00       X     278,049 0 28,330
(46) JENNIFER ABERMANIS
VP - DIAG. THERAPY/SUPPORT
 55.00       X     275,109 0 39,765
(47) CINDY EVANS
VP - AMB & REGNL SVCS MED
 55.00       X     322,662 0 31,833
(48) DAVID PERRY
VP - MKT & COMMUNICATIONS
 55.00       X     275,506 0 34,678
(49) WARREN HEWITT
VP - FINANCE
 55.00       X     259,595 0 30,199
(50) JUDITH DOUGHERTY
VP - SURGERY-HEART CENTER
 55.00       X     273,352 0 31,325
(51) TODD JOHNSON
VP - FACILITIES
 55.00       X     277,446 0 28,133
(52) CHARLES HODGE
VP - STRATEGIC SOURCING
 55.00       X     250,974 0 32,583
(53) DAVID BRAUNER
CARDIOLOGIST
 55.00         X   499,766 0 29,393
(54) DOUGLAS PICHA
PRESIDENT - FOUNDATION
 5.50         X   41,638 374,734 76,174
(55) JOE RUTLEDGE
MEDICAL DIRECTOR OF LABS
 55.00         X   368,257 0 28,094
(56) ANNE MANKTELOW
PEDIATRIC SURGEON
 55.00         X   366,662 0 15,892
(57) DONA BREKKE
CARDIOLOGIST
 55.00         X   352,521 0 16,852
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 9,711,482 1,655,511 1,773,995
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet476
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
 
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
CHILDREN'S UNIVERSITY MEDICAL GROUP
PO BOX 50010
SEATTLE,WA98105 		PHYSICIAN SERVICES 56,266,011
UNIVERSITY OF WASHINGTON
PO BOX 358220
SEATTLE,WA98195 		RESIDENTS & INTERNS 27,132,985
SELLEN CONSTRUCTION
227 WESTLAKE AVENUE NORTH
SEATTLE,WA98109 		CONSTRUCTION 23,060,515
PUGET SOUND BLOOD CENTER
921 TERRY AVENUE
SEATTLE,WA98104 		BLOOD PROCESSING 8,498,375
DENALI ADVANCED INTEGRATION
17735 NE 65TH STREET SUITE 130
REDMOND,WA98052 		IT CONSULTING 5,828,187
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet188
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 41,672,323
e Government grants (contributions)1e 64,854,712
f All other contributions, gifts, grants, and
similar amounts not included above1f 		2,523,053
g Noncash contributions included in lines 1a-1f:$ 382,342
h Total. Add lines 1a-1f.......MediumBullet 109,050,088
Program Service Revenue Business Code
2a PATIENT SVC REVENUES 621,500 707,937,443 707,937,443    
b OTHER HEALTHCARE SVCS 621,500 8,336,196 4,817,265 2,075,272 1,443,659
c INVESTMENT PROV CHILD 621,500 654,500 654,500    
d WHALE GIFT SHOP 453,220 640,941     640,941
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 717,569,080
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 28,611,737     28,611,737
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 169,308,481 3,520,340
b Less: cost or other basis and sales expenses 165,497,353 3,189,370
c Gain or (loss) 3,811,128 330,970
d Net gain or (loss)..........MediumBullet 4,142,098     4,142,098
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a CAFETERIA 722,212 2,678,257     2,678,257
b PARKING 812,930 1,866,300     1,866,300
c MISCELLANEOUS 900,099 10,342     10,342
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 4,554,899
12 Total revenue. See Instructions....MediumBullet 863,927,902 713,409,208 2,075,272 39,393,334
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 4,468,797 4,468,797
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22    
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 9,742,032   9,742,032  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 295,121,188 276,079,640 19,041,548  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 14,648,660 13,703,512 945,148  
9 Other employee benefits ....... 41,980,624 39,271,987 2,708,637  
10 Payroll taxes ........... 21,257,045 19,885,517 1,371,528  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,972,678 1,845,399 127,279  
c Accounting ........... 305,675 285,953 19,722  
d Lobbying ........... 267,015 267,015    
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 388,994 363,896 25,098  
g Other .......... 64,331,912 60,181,145 4,150,767  
12 Advertising and promotion .... 2,607,749 2,439,494 168,255  
13 Office expenses ....... 98,677,433 92,310,655 6,366,778  
14 Information technology ...... 7,721,185 7,223,006 498,179  
15 Royalties ..        
16 Occupancy ........... 17,299,393 16,183,217 1,116,176  
17 Travel ............ 2,821,978 2,639,901 182,077  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 1,736,760 1,624,702 112,058  
20 Interest ........... 23,109,066 21,618,043 1,491,023  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 55,959,769 52,349,182 3,610,587  
23 Insurance .............. 2,388,113 2,234,029 154,084  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a PHYSICIANS SERVICES 78,968,204 78,968,204    
b LICENSES & TAXES 27,228,756 25,471,926 1,756,830  
c MISCELLANEOUS 10,128,084 9,474,608 653,476  
d BANK FEES 1,644,994 1,538,857 106,137  
e UBI TAXES 185,750 185,750    
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 784,961,854 730,614,435 54,347,419 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ..........   1  
2 Savings and temporary cash investments ....... 98,291,775 2 185,075,395
3 Pledges and grants receivable, net ......... 4,636,194 3 4,650,912
4 Accounts receivable, net ......... 117,245,201 4 107,695,722
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 62,541 7 64,752
8 Inventories for sale or use .............. 8,018,233 8 8,349,144
9 Prepaid expenses and deferred charges ............ 8,059,537 9 7,378,119
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,140,207,151
b Less: accumulated depreciation. ..... 10b 401,038,189 722,548,130 10c 739,168,962
11 Investments—publicly traded securities .......... 434,225,414 11 447,000,132
12 Investments—other securities. See Part IV, line 11 ......   12  
13 Investments—program-related. See Part IV, line 11 .. 30,215,001 13 28,369,501
14 Intangible assets .........   14  
15 Other assets. See Part IV, line 11 ........... 87,737,905 15 75,949,689
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,511,039,931 16 1,603,702,328
Liabilities 17 Accounts payable and accrued expenses . 92,082,997 17 126,024,567
18 Grants payable ..........   18  
19 Deferred revenue ..........   19  
20 Tax-exempt bond liabilities .......... 479,128,486 20 474,772,627
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 28,331,863 23 29,856,758
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 62,833,216 25 65,140,883
26 Total liabilities. Add lines 17 through 25..... 662,376,562 26 695,794,835
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 641,866,237 27 693,079,002
28 Temporarily restricted net assets ..... 56,086,551 28 61,713,507
29 Permanently restricted net assets ..... 150,710,581 29 153,114,984
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 848,663,369 33 907,907,493
34 Total liabilities and net assets/fund balances ..... 1,511,039,931 34 1,603,702,328
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
863,927,902
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
784,961,854
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
78,966,048
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
848,663,369
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-19,721,924
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
907,907,493
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number

91-0564748
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Explanation
 
 
 
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number

91-0564748
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
SEATTLE CHILDREN'S HOSPITAL
  		Employer identification number

91-0564748
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
SEATTLE CHILDREN'S HOSPITAL
  		Employer identification number

91-0564748
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
SEATTLE CHILDREN'S HOSPITAL
  		Employer identification number

91-0564748
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number

91-0564748
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ....... 267,015  
c Total lobbying expenditures (add lines 1a and 1b) ................... 267,015  
d Other exempt purpose expenditures ........................ 783,172,722  
e Total exempt purpose expenditures (add lines 1c and 1d) ............... 783,439,737  
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		 1,000,000  
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) ................. 250,000  
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................ 0  
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................ 0  
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount 1,000,000 1,000,000 1,000,000 1,000,000 4,000,000
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		        6,000,000
             
c Total lobbying expenditures 301,403 310,524 247,092 267,015 1,126,034
             
d Grassroots non-taxable amount 250,000 250,000 250,000 250,000 1,000,000
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		         1,500,000
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
 
 
c
Media advertisements? ....................................
 
 
 
d
Mailings to members, legislators, or the public? .........................
 
 
 
e
Publications, or published or broadcast statements? .......................
 
 
 
f
Grants to other organizations for lobbying purposes? .......................
 
 
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
 
 
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
 
 
i
Other activities? If "Yes," describe in Part IV ..........................
 
 
 
j
Total. lines 1c through 1i ...................................
 
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
 
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number

91-0564748
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......   3
2 Aggregate contributions to (during year) ...   31,200
3 Aggregate grants from (during year) ...   35,580
4 Aggregate value at end of year .......   748,782
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 250,467,000 224,924,000 221,932,000
b Contributions ........ 2,576,000 2,946,000 8,002,000
c Investment earnings or losses ... 2,474,000 27,782,000 -179,000
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........ 		5,541,000 5,185,000 4,831,000
f Administrative expenses ....      
g End of year balance ...... 249,976,000 250,467,000 224,924,000
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet48.300 %
b
Permanent endowment: SchDMd Bullet47.500 %
c
Term endowment: SchDMd Bullet4.200 %
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   163,751,776 163,751,776
b Buildings ................   581,262,323 178,710,804 402,551,519
c Leasehold improvements ............   10,760,012 4,440,879 6,319,133
d Equipment ................   317,589,947 214,910,338 102,679,609
e Other .................   66,843,093 2,976,168 63,866,925
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 739,168,962
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
SWAP MTM VALUE - SERIES 2006A & B 27,971,966
PAYABLE TO SCHS - STEWART PLACE 21,021,249
DEFERRED COMPENSATION PLAN PAYABLE 6,087,288
DEFERRED AND OTHER LIABILITIES 9,278,402
CAPITAL LEASE OBLIGATION 781,978




Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 65,140,883
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 863,927,902
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 784,961,854
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 78,966,048
4 Net unrealized gains (losses) on investments .......................... 4 -25,807,114
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 6,085,190
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 -19,721,924
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 59,244,124
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 836,072,605
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a -7,017,562
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e -7,017,562
3 Subtract line 2e from line 1..................... 3 843,090,167
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a 388,994
b Other (Describe in Part XIV): ........... 4b 20,448,741
c Add lines 4a and 4b....................... 4c 20,837,735
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 863,927,902
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 787,554,690
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d 2,981,830
e Add lines 2a through 2d...................... 2e 2,981,830
3 Subtract line 2e from line 1..................... 3 784,572,860
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 388,994
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c 388,994
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 784,961,854
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: SEATTLE CHILDREN'S HEALTHCARE SYSTEM (SCHS) AND SEATTLE CHILDREN'S HOSPITAL (SCH) SHARE IN A UNIFIED ENDOWMENT FUND (UEF) THAT IS MANAGED BY SCHS. SEATTLE CHILDREN'S HOSPITAL'S TEMPORARILY AND PERMANENTLY RESTRICTED ASSETS REFLECT ENDOWMENTS WHOSE PURPOSE IS TO SUPPORT THE HOSPITAL.
PART XI, LINE 8 - OTHER ADJUSTMENTS:   CHANGE IN BENEFICIAL INTEREST IN SCHS -672,399. RESTRICTED GRANTS AND DONATIONS 36,893,177. NET ASSETS RELEASED FROM RESTRICTION -30,135,588.
PART XII, LINE 4B - OTHER ADJUSTMENTS:   NET INVESTMENT INCOME 23,430,571. PROVISION FOR BAD DEBT -2,981,830.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:   PROVISION FOR BAD DEBT 2,981,830.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number

91-0564748
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES ATTENDED LEADERSHIP TRAINING IN JAPAN ON CONTINUOUS PROCESS IMPROVEMENTS 132,732
SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES TEACHING IN KENYA - PEDIATRIC RESIDENCY GLOBAL TRACK PROGRAM 59,620
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM 327,219
EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM 38,471
SOUTH ASIA 0 0 PROGRAM SERVICES DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM 21,621
SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM 2,892
NORTH AMERICA 0 0 PROGRAM SERVICES DEVELOPMENT OF GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH PROGRAM 814
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES 84,249
EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES 48,028
NORTH AMERICA 0 0 PROGRAM SERVICES INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES 27,292
SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES 19,340
SOUTH AMERICA 0 0 PROGRAM SERVICES INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES 9,736
SOUTH ASIA 0 0 PROGRAM SERVICES INTERNATIONAL TRAVEL TO MEDICAL CONFERENCES 1,599
EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES MEDICAL SERVICES 14,262
SOUTH AMERICA 0 0 PROGRAM SERVICES MEDICAL SERVICES 2,438
EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES MEDICAL SERVICES 615
SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES EFFORTS FOR THE PREVENTION OF AIDS 22,216
3a Sub-total ..... 0 0 667,618
b Total from continuation sheets to Part I ... 0 0 145,526
c Totals (add lines 3a and 3b) 0 0 813,144
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
METHOD USED TO ACCCOUNT FOR EXPENDITURES:   SCHEDULE F, PART I, LINE 3: THE ACCRUAL METHOD WAS USED TO ACCOUNT FOR EXPENDITURES.
OTHER INFORMATION SCHEDULE F, PART V SCHEDULE F, PART IV, LINE 1: FORM 926 IS NOT REQUIRED TO BE FILED BECAUSE THE TRANSFER TO A FOREIGN CORPORATION DOES NOT MEET THE REPORTING REQUIREMENTS IN I.R.C. SEC. 6038(A)(1)(A).
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number

91-0564748
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
No
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		1 20,217 10,679,000 0 10,679,000 1.360 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		8 123,833 291,941,000 199,229,000 92,712,000 11.810 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		9 144,050 302,620,000 199,229,000 103,391,000 13.170 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		93   10,389,042 735,400 9,653,642 1.230 %
f Health professions education
(from Worksheet 5) .. 		78   21,947,577 3,032,805 18,914,772 2.410 %
g Subsidized health services
(from Worksheet 6) .. 		           
h Research (from Worksheet 7) 9   86,610,028 1,545,476 85,064,552 10.840 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		6   1,526,932 0 1,526,932 0.190 %
jTotal Other Benefits ... 186   120,473,579 5,313,681 115,159,898 14.670 %
kTotal. Add lines 7d and 7j. .. 195 144,050 423,093,579 204,542,681 218,550,898 27.840 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 10   572,594   572,594 0.070 %
4 Environmental improvements 1   35,182   35,182 0 %
5 Leadership development and training for community members            
6 Coalition building 4   49,488   49,488 0.010 %
7 Community health improvement advocacy 8   483,973   483,973 0.060 %
8 Workforce development 9   343,097   343,097 0.040 %
9 Other            
10 Total 32   1,484,334   1,484,334 0.180 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
1,452,500
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
0
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
3,484,864
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
5,378,967
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
-1,894,103
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
11 NA
  		       
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?1
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 SEATTLE CHILDREN'S HOSPITAL (SCH)
4800 SAND POINT WAY NE
SEATTLE,WA98105 		X X X X   X X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:SEATTLE CHILDREN'S HOSPITAL (SCH)
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1 Yes  
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20 10
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3 Yes  
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4   No
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5   No
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7   No
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8 Yes  
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9 Yes  
If “Yes,” indicate the FPG family income limit for eligibility for free care: 400.000000000000%
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10   No
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11 Yes  
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12 Yes  
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13 Yes  
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14 Yes  
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16   No
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18 Yes  
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20   No
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21   No
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?16
Name and address Type of Facility (Describe)
1 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
2 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
3 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
4 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
5 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
6 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
7 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
8 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
9 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
10 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
11 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
12 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
13 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
14 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
15 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
16 SEATTLE CHILDREN'S RESEARCH INSTITUTE
1100 OLIVE WAY
SEATTLE,WA98101 		PEDIATRIC RESEARCH
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    PART I, LINE 3C: SEATTLE CHILDREN'S HOSPITAL (SCH) USES 400% OF THE FEDERAL POVERTY GUIDELINES (FPG) AS ITS THRESHOLD FOR QUALIFYING PATIENTS WHO APPLY FOR CHARITY CARE. FURTHERMORE, SCH USES ADDITIONAL CRITERIA OTHER THAN FPG TO QUALIFY ADDITIONAL PATIENTS FOR CHARITY CARE. RESPONSIBLE PARTIES WHOSE INCOME EXCEEDS 400%, HAVE INCURRED CATASTROPHIC ACCOUNT BALANCES AND WHO ARE NOT ELIGIBLE FOR FUNDING FROM OTHER SOURCES ARE ALSO ELIGIBLE FOR CATASTROPHIC CHARITY CARE WHEREBY THEY ARE RESPONSIBLE FOR A PORTION OF THE OUTSTANDING BALANCE AND SCH'S CHARITY CARE FUNDS THE REMAINING BALANCE. FAMILIES WHO RECEIVE A DENIAL OF CHARITY CARE BASED ON THE FPG AND FAMILY SIZE INFORMATION ARE ALLOWED TO APPEAL THE DENIAL BY PROVIDING INFORMATION ABOUT ADDITIONAL CIRCUMSTANCES IMPACTING THEIR FINANCIAL SITUATION SUCH AS EXCESSIVE MEDICAL DEBT. THE SENIOR DIRECTOR OF REVENUE CYCLE OR CHIEF FINANCIAL OFFICER MAY ADMINISTRATIVELY APPROVE CHARITY CARE BASED ON THIS ADDITIONAL INFORMATION. DUE TO SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, THE STANDARD APPLICATION PROCESS FOR CHARITY CARE IN RARE CASES MAY NOT BE COMPLETED. IN CASES WHERE A PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR CHARITY CARE IN THE ABSENCE OF RECEIVING ALL REQUIRED INFORMATION, THE SENIOR DIRECTOR OF REVENUE CYCLE OR THE CHIEF FINANCIAL OFFICER MAY ALSO APPROVE PATIENT ACCOUNT BALANCE WRITE-OFFS FOR CHARITY CARE.
  PART I, LINE 6: SCH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT. THIS REPORT IS AVAILABLE TO THE GENERAL PUBLIC. SCH APPLIES THE CATHOLIC HEALTH ASSOCIATION PRINCIPLES AND USES THE "LYONS" SOFTWARE TO ACCUMULATE THE INFORMATION INCLUDED IN ITS ANNUAL COMMUNITY BENEFIT REPORT. SEE SCHEDULE O FOR THE FULL 2011 COMMUNITY BENEFIT REPORT AND AT WWW.SEATTLECHILDRENS.ORG.
  PART I, LINE 7: SCH USES A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2 TO CALCULATE CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS (7A-7D) REPORTED IN THE TABLE. SCH USED ITS 2011 MEDICARE COST REPORT TO CALCULATE PROGRAM SPECIFIC COST-TO-CHARGE RATIOS FOR LINES 7E-7K.IN ACCORDANCE WITH ITS MISSION TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE, SCH COMMITS SIGNIFICANT RESOURCES TO PROMOTE THE HEALTH AND WELL-BEING OF CHILDREN. IN SUPPORT OF THIS ENDEAVOR, SCH RECOGNIZES THAT SOME OF ITS MOST FRAGILE CONSTITUENTS ARE CHILDREN WHOSE FAMILIES ARE FINANCIALLY OR MEDICALLY INDIGENT. TO THAT END, SCH PROVIDES MEDICAL TREATMENT TO CHILDREN WHOSE FAMILIES ARE UNABLE TO PAY FOR SUCH TREATMENT. SCH ENSURES THAT CHARITY CARE, EDUCATION, RESEARCH AND OTHER SPONSORED COMMUNITY PROGRAMS BENEFIT ALL CHILDREN, REGARDLESS OF ECONOMIC STATUS. THEREFORE, SCH MAINTAINS CHARITY AND COMMUNITY BENEFIT PROGRAMS, WITHIN LIMITS, THAT ARE AVAILABLE TO THE ENTIRE COMMUNITY, WITH EQUAL CONSIDERATION FOR THOSE THAT ARE POOR AND UNDERSERVED.THE CATEGORIES INCLUDED AS PROGRAMS AND SERVICES FOR THE POOR AND THE UNDERSERVED ARE AS FOLLOWS:CHARITY CARE - REPRESENTS THE ESTIMATED COST OF CARE PROVIDED TO CHILDREN WHO ARE UNINSURED OR UNDERINSURED AND WHOSE FAMILIES CANNOT AFFORD TO PAY FOR THEIR OWN MEDICAL CARE. SCH PROVIDES CHARITY CARE IN ACCORDANCE WITH ITS CHARITY CARE POLICY BASED ON FAMILY NEED AND MAINTAINS RECORDS TO IDENTIFY THE LEVEL OF CHARITY IT PROVIDES. THE DETERMINATION OF FAMILY NEED IS EVALUATED DURING A PATIENT'S COURSE OF CARE AND CAN BE UPDATED AFTER CARE IS COMPLETE. THE RATIO OF COST-TO-CHARGE WAS DETERMINED USING SUPPLEMENTARY WORKSHEET 2 OF SCHEDULE H.UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS - REPRESENTS THE ESTIMATED COST OF PROVIDING SERVICES TO PATIENTS COVERED UNDER MEDICAID AND INDIGENT CARE PROGRAMS, IN EXCESS OF PAYMENTS FROM ALL SOURCES. THE UNREIMBURSED COST FOR PROVIDING THESE SERVICES WAS DETERMINED USING SUPPLEMENTARY WORKSHEET 3 OF SCHEDULE H.OTHER BENEFITS - REPRESENTS COST OF PROVIDING SERVICES FOR THE BENEFIT OF THE ENTIRE COMMUNITY. THESE BENEFITS INCLUDE RESEARCH, EDUCATION AND VARIOUS OTHER COMMUNITY-BASED HEALTH CARE PROGRAMS. THE MAJORITY OF THESE BENEFITS ARE FOR PEDIATRIC RESEARCH AND GRADUATE MEDICAL EDUCATION.
    PART II: PROMOTING THE HEALTH OF THE COMMUNITY IS A CORE ASPECT OF OUR HOSPITAL MISSION, VISION AND COMMITMENT. OTHER ASPECTS OF OUR HOSPITALS COMMUNITY BENEFIT INCLUDE:- MOBILE PROGRAMS SUCH AS THE SMILEMOBILE, THE SCIENCE ADVENTURE LAB AND THE HEALTH AND SAFETY VAN TRAVEL THE STATE OFFERING DENTAL CARE, SCIENCE EDUCATION AND HEALTH AND SAFETY INFORMATION AND GEAR, RESPECTIVELY, TO CHILDREN WHO MIGHT NOT OTHERWISE RECEIVE THESE SERVICES.- COORDINATION WITH STATE AND LOCAL GOVERNMENT AGENCIES, HEALTHCARE PROVIDERS AND COMMUNITY ORGANIZATIONS TO BRING PREVENTION AND TREATMENT SERVICES RELATED TO SUBSTANCE ABUSE, DROWNING, MOTOR VEHICLE INJURIES, HEAD CONCUSSIONS, ABUSIVE HEAD TRAUMA, IMMUNIZATIONS, AND OBESITY, AMONG OTHERS.- CLASSES AND SUPPORT GROUPS TO CHILDREN, TEENS, PARENTS, CAREGIVERS AND HEALTHCARE PROVIDERS IN THE COMMUNITY ABOUT AUTISM, CPR, SAFE BABYSITTING, CHILD PASSENGER SAFETY AND GROWING UP.- FREE HEALTH AND SAFETY EDUCATION AND INFORMATION TO THE COMMUNITY THROUGH PRINTED MATERIALS, COMMUNITY OUTREACH EVENTS, MEDIA PARTNERSHIPS AND SOCIAL MEDIA VEHICLES.- OUR LONGSTANDING ROLE AS A TEACHING HOSPITAL WITH ONE OF THE TOP RATED RESIDENCY PROGRAMS. STUDENTS IN MANY OTHER HEALTH CARE PROFESSIONS INCLUDING NURSING, LAB, RADIOLOGY AND RESPIRATORY THERAPY RECEIVE TRAINING.- INTERNSHIPS AND JOB SHADOWING OFFERED FOR HIGH SCHOOL, UNDERGRADUATE AND GRADUATE STUDENTS, AS WELL AS OBSERVERSHIPS FOR HEALTHCARE PROFESSIONALS AND NURSING CAMP.- GRAND ROUNDS AND OTHER EDUCATIONAL SESSIONS OPEN TO COMMUNITY AND SCHOOL NURSES AS WELL AS DOCTORS THROUGHOUT THE REGION. HEALTHCARE PROFESSIONALS LEARN ABOUT SPECIALTY PEDIATRIC CARE AND DIFFERENT HEALTH CONDITIONS. STATEWIDE TELECONFERENCE IS BROADCASTED ACROSS THE STATE.- A COMMITMENT TO SPEND NEARLY $4 MILLION ON TRANSPORTATION OVER THE NEXT 20 YEARS TO IMPROVE NORTHEAST SEATTLE'S WALKABILITY, BIKEABILITY, AND DRIVABILITY AS PART OF THE HOSPITAL'S COMPREHENSIVE TRANSPORTATION PLAN. IMPROVEMENTS WILL POTENTIALLY INCLUDE "SMART" SIGNALS TO EASE TRAFFIC FLOW, BICYCLE BOULEVARDS, INCREASED ACCESS TO CITYWIDE BIKE TRAIL SYSTEMS, AND BETTER STREET CROSSINGS.- A SIGNIFICANT INVESTMENT IN RESEARCH FOCUSED ON BOTH PREVENTION AND TREATMENT OF ILLNESS, DISEASE AND CHRONIC CONDITIONS.- A FAMILY ADVISORY COUNCIL AS WELL AS A NUMBER OF DEPARTMENT SPECIFIC ADVISORY COUNCILS WHERE FAMILIES PROVIDE EXPERT GUIDANCE. - LEADERSHIP IN THE HEALTH COALITION FOR CHILDREN AND YOUTH, ADVOCATING FOR HEALTHCARE COVERAGE FOR ALL CHILDREN, INCLUDING IMMIGRANT CHILDREN. - HOSPITAL FOUNDATION ACTIVITIES TO RAISE MONEY FOR UNCOMPENSATED CARE AND TO FUND HEALTH IMPROVEMENT PROGRAMS FOCUSED ON AT RISK AND UNDERSERVED CHILDREN AND FAMILIES.- THE LARGEST VOLUNTEER PROGRAM IN THE UNITED STATES WITH OVER 800 VOLUNTEERS A MONTH.
    PART III, LINE 4: SCH CHARACTERIZES SELF PAY AS BAD DEBT WHEN A FAMILY IS EITHER NOT ELIGIBLE OR HAS NOT APPLIED FOR FINANCIAL ASSISTANCE AND IS UNWILLING OR UNABLE TO PAY AN OUTSTANDING ACCOUNT BALANCE. THE MOST COMMON PATIENT BAD DEBT SCENARIOS INCLUDE UNPAID SELF PAY PORTIONS OF ACCOUNT BALANCES AFTER INSURANCE OR THIRD PARTY ASSISTANCE PAYMENTS OR UNPAID ACCOUNT BALANCES AFTER A BANKRUPTCY FILING. SCH IS SENSITIVE TO THE FINANCIAL HEALTH OF FAMILIES AND RECOGNIZES THAT FAMILY FINANCIAL CONCERNS MAY NOT ALWAYS BE EFFECTIVELY COMMUNICATED. SCH IS COMMITTED TO MANAGING COLLECTION EFFORTS INTERNALLY, IN A RESPECTFUL MANNER AND WITHOUT USING EXTERNAL COLLECTION OR CREDIT AGENCIES, EXCEPT IN LIMITED CIRCUMSTANCES SUCH AS INTERNATIONAL PATIENTS. SINCE ALL COLLECTIONS EFFORTS ARE MANAGED INTERNALLY, IN A RESPECTFUL MANNER, SCH DOES NOT DISCLOSE ITS COLLECTION PRACTICE IN THE FOOTNOTES OF THE FINANCIAL STATEMENTS.
    PART III, LINE 8: MEDICARE ALLOWABLE COSTS ARE OBTAINED DIRECTLY FROM THE MEDICARE COST REPORT AND ARE DETERMINED IN ACCORDANCE WITH THE MEDICARE PRINCIPLES OF REIMBURSEMENT. SCH'S MEDICARE PATIENTS ARE CHILDREN WITH END STAGE RENAL DISEASE (ESRD) THAT INCLUDES DIALYSIS CARE AND OFTEN KIDNEY TRANSPLANT ALONG THE OTHER RELATED SERVICES. THE ESRD CARE OFTEN RESULTS IN LONGER LENGTH OF STAY AND HIGHER ACUITY. MEDICARE REIMBURSEMENT FOR THESE SERVICES IS SUBJECT TO TEFRA A LIMIT THAT OFTEN IS BELOW SCH'S COST. THE ACTUAL SHORTFALL IN COST REIMBURSEMENT SHOULD AT LEAST BE TREATED AS COMMUNITY BENEFIT.
    PART III, LINE 9B: SCH'S BUSINESS SERVICES DEPARTMENT USES A STANDARD, RESPECTFUL PROCEDURE FOR RESOLVING UNPAID PATIENT BALANCES. A. THE STANDARD PROCESS INCLUDES OFFERING FINANCIAL ASSISTANCE TO ELIGIBLE FAMILIES.B. SCH PROVIDES A STANDARD 25% DISCOUNT ON HEALTH CARE SERVICES TO PATIENTS WHO ARE UNINSURED IN ACCORDANCE WITH ORGANIZATIONAL POLICIES AND PROCEDURES. THIS DISCOUNT ALIGNS WITH OR IS LOWER THAN DISCOUNTS PROVIDED TO COMMERCIAL INSURERS.C. ADDITIONALLY, SCH ATTEMPTS TO ACCOMMODATE U.S. FAMILIES WHO DESIRE TO SET UP REASONABLE PAYMENT PLANS.D. IF A PATIENT ACCOUNT BALANCE REMAINS UNPAID AFTER STANDARD INTERNAL COLLECTION PROCEDURES HAVE BEEN FOLLOWED, AND IF THE FAMILY HAS NOT APPLIED FOR OR DOES NOT QUALIFY FOR SCH'S FINANCIAL ASSISTANCE, THE ACCOUNT BALANCE WILL BE WRITTEN OFF AS BAD DEBT IN ACCORDANCE WITH STANDARD PROCEDURAL TIMELINES. - UPON RECEIPT OF A PERSONAL BANKRUPTCY NOTICE, SCH IDENTIFIES ANY OUTSTANDING ACCOUNT BALANCES FOR THE ASSOCIATED PATIENT AND WRITES OFF THESE BALANCES AS BAD DEBT. - SCH'S FINANCE DEPARTMENT MONITORS THE PORTION OF OUTSTANDING AR THAT IS CLASSIFIED AS BAD DEBT FOR SIGNIFICANT VARIANCES. - SCH'S STANDARD PRACTICE IS TO COLLECT ON OUTSTANDING PATIENT ACCOUNTS USING INTERNAL RESOURCES. 1. REPORTS ARE NOT SENT TO CREDIT AGENCIES. 2. COLLECTION AGENCIES WILL NOT BE USED TO COLLECT ANY OUTSTANDING PATIENT ACCOUNT EXCEPT AS SPECIFICALLY AUTHORIZED BY THE SENIOR DIRECTOR OF REVENUE CYCLE. 3. THE USE OF COLLECTION AGENCIES WILL ONLY BE PERMITTED IN VERY RARE SCENARIOS WHERE THE FAMILY RESIDES OUTSIDE OF SCH'S SERVICE AREA (E.G., INTERNATIONAL PATIENTS). 4. SCH WILL NOT FILE A LIEN AGAINST A PATIENT'S OR FAMILY'S PRIMARY RESIDENCE TO SECURE PAYMENT ON PATIENT ACCOUNT BALANCES.
SEATTLE CHILDREN'S HOSPITAL (SCH)   PART V, SECTION B, LINE 1J: IN 2011 SEATTLE CHILDREN'S CONTINUED OUR COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), INITIATED IN 2010 WITH PHASE ONE, AND WHICH FOCUSED ON DESCRIBING SOCIAL DETERMINANTS OF HEALTH AND ACCESS IN OUR SERVICE REGION (WASHINGTON, ALASKA, MONTANA AND IDAHO). PHASE TWO HAD THE PURPOSE OF A) IDENTIFYING ISSUES AND ASSETS THAT IMPACT AT RISK AND UNDERSERVED POPULATIONS, INCLUDING FAMILIES WHO HAVE A CHILD WITH SPECIAL HEALTH CARE NEEDS; B) IDENTIFYING KEY HEALTH AND SAFETY ISSUES USING EXISTING DATA AND FROM THE PERSPECTIVE OF COMMUNITY STAKEHOLDERS AND FAMILIES; AND C) PRIORITIZING TOPIC AREAS BASED ON COMMUNITY NEEDS AND WHERE SEATTLE CHILDREN'S HAS SIGNIFICANT EXPERTISE. THIS LAYS THE FOUNDATION FOR A COMMUNITY BENEFIT IMPLEMENTATION PLAN THAT ENGAGES STAKEHOLDERS, LINKS TO THE HOSPITAL'S STRATEGIC PLAN AND SUPPORTS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS, OTHER HEALTHCARE PROVIDERS AND THE COMMUNITY.
SEATTLE CHILDREN'S HOSPITAL (SCH)   PART V, SECTION B, LINE 3: IN GATHERING QUALITATIVE AND QUANTITATIVE INFORMATION FOR PHASE TWO OF THE CHNA, WE USED A MULTI-PRONGED COMMUNITY PARTICIPATION APPROACH. LED BY THE EXTERNAL AFFAIRS AND GUEST SERVICES AND WITH SUPPORT FROM THE HOSPITAL'S ADVOCACY ADVISORY COMMITTEE, WE ELICITED AND INCORPORATED INPUT FROM 75 COMMUNITY LEADERS, FROM 57 ORGANIZATIONS, FAMILY REPRESENTATIVES FROM TWO FOCUS GROUPS, AND THE HOSPITAL'S FAMILY ADVISORY COUNCIL, AS WELL AS KEY INTERNAL STAKEHOLDERS. WE COMPILED AVAILABLE CHILD AND ADOLESCENT HEALTH DATA FROM VARIOUS SOURCES ON 24 KEY TOPIC AREAS, INTERVIEWED KEY MEMBERS OF OUR ORGANIZATION AND INTERNAL STAKEHOLDERS, QUERIED PUBLIC HEALTH EXPERTS AND COMMUNITY REPRESENTATIVES, CONDUCTED AN ONLINE SURVEY WITH COMMUNITY STAKEHOLDERS AND CONDUCTED TWO PARENT LISTENING GROUPS. AS A RESULT WE HAVE DRAFTED FIVE PROPOSED COMMUNITY BENEFIT PRIORITIES. IN THE LAST QUARTER OF 2011 AND FIRST QUARTER OF 2012, WE ARE ENTERING PHASE THREE, WHICH CONSISTS OF PRESENTING THE FINDINGS OF THE CHNA AND PROPOSING THE FIVE PRIORITY AREAS TO BE INCORPORATED IN THE HOSPITAL'S OPERATING AND STRATEGIC INITIATIVES.
SEATTLE CHILDREN'S HOSPITAL (SCH)   PART V, SECTION B, LINE 5C: PHASE FOUR OF THE CHNA, WHICH CONSISTS OF WRITING AND PUBLISHING THE CHNA REPORT IS SCHEDULED FOR THE SECOND HALF OF 2012 AFTER APPROVAL BY THE HOSPITAL'S BOARD OF TRUSTEES. THE CHNA WILL BE MADE WIDELY AVAILABLE THROUGH THE HOSPITAL'S WEBSITE, WWW.SEATTLECHILDRENS.ORG.
SEATTLE CHILDREN'S HOSPITAL (SCH)   PART V, SECTION B, LINE 7: SEATTLE CHILDREN'S HAS A HISTORY OF EXTENSIVE INVOLVEMENT IN COMMUNITY BENEFIT. WHILE WE ARE IDENTIFYING COMMUNITY BENEFIT PRIORITY AREAS AS A RESULT OF THIS COMPREHENSIVE CHNA PROCESS, THE HOSPITAL CONTINUES TO ENCOURAGE COMMUNITY BENEFIT PROGRAMS AT ALL LEVELS OF THE ORGANIZATION. EXECUTION OF IMPLEMENTATION STRATEGIES GENERALLY HAPPEN AT DEPARTMENTAL AND PROGRAM LEVELS. THE RESULTS OF THE CHNA WILL BOTH VALIDATE EXISTING WORK AND PROVIDE FOCUS FOR PRIORITY WORK IN KEY FOCUS AREAS AT AN ORGANIZATIONAL LEVEL. PHASE FIVE OF THE CHNA CONSISTS IN WRITING AND PUBLISHING THE COMMUNITY BENEFIT IMPLEMENTATION STRATEGY AND WILL INCLUDE A DEFINITION OF THE PRIORITY COMMUNITY BENEFIT AREAS, THE PLAN FOR ADDRESSING THEM, METRICS TO TRACK PROGRESS AND THE REASONING WHY THE HOSPITAL WILL NOT BE ADDRESSING OTHER IDENTIFIED NEEDS. THIS PHASE FIVE IS SCHEDULED TO BE COMPLETED BY END OF SEPTEMBER 2012.
SEATTLE CHILDREN'S HOSPITAL (SCH)   PART V, SECTION B, LINE 11H: DUE TO SOCIOECONOMIC OR OTHER FACTORS SUCH AS KNOWLEDGE THAT THE PATIENT IS HOMELESS, THE STANDARD APPLICATION PROCESS FOR CHARITY CARE IN RARE CASES MAY NOT BE COMPLETED. IN CASES WHERE A PATIENT CAN BE REASONABLY PRESUMED TO QUALIFY FOR CHARITY CARE IN THE ABSENCE OF RECEIVING ALL REQUIRED INFORMATION, THE SENIOR DIRECTOR OF REVENUE CYCLE OR THE CHIEF FINANCIAL OFFICER MAY ALSO APPROVE PATIENT ACCOUNT BALANCE WRITE-OFFS FOR CHARITY CARE.
    PART VI, LINE 2: AS PART OF CHILDREN'S STRATEGIC PLAN DEVELOPMENT, RESEARCH WAS DONE TO IDENTIFY SPECIALTY CARE, MENTAL HEALTH AND EMERGENCY CARE ACCESS AND SHORTAGE ISSUES; ASSESS THE ONGOING NEED FOR UNCOMPENSATED CARE SUPPORT; AND DETERMINE POTENTIAL PARTNERSHIPS TO BETTER ADDRESS THE HEALTH CARE NEEDS OF ALL CHILDREN IN THE PACIFIC NORTHWEST. ADDITIONALLY, NUMEROUS PROGRAMS AND DEPARTMENTS IN THE HOSPITAL CONDUCT NEEDS ASSESSMENTS TO IDENTIFY HEALTH PROMOTION, HEALTH CARE AND HEALTH DISPARITIES THAT IMPACT THE HEALTH OF CHILDREN AND FAMILIES. FOR EXAMPLE, THE CENTER FOR DIVERSITY AND HEALTH EQUITY HAS ASSESSED THE NEED FOR MORE CULTURAL NAVIGATORS; MEDICAL LEGAL PARTNERSHIP HAS ASSESSED HOW MANY PRIMARY CARE PRACTICES ARE ACCEPTING NEW MEDICAID CHILDREN IN KING COUNTY AND SAFE KIDS SOUTH KING IS ASSESSING INJURY RATES AND COMMUNITY ASSETS.
    PART VI, LINE 3: EVERY FAMILY THAT COMES TO SCH, WHETHER FOR AN INPATIENT STAY, CLINIC VISIT, SURGERY OR THROUGH THE EMERGENCY DEPARTMENT, IS PROVIDED WITH INFORMATION ABOUT OUR FINANCIAL ASSISTANCE PROGRAM. SIGNAGE ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IS AVAILABLE IN OUR PRIMARY LANGUAGES: ENGLISH, SPANISH, RUSSIAN AND VIETNAMESE. APPLICATION FORMS ARE AVAILABLE IN ENGLISH AND SPANISH. IN PERSON INTERPRETERS AND THE HOSPITAL'S SPEAK LINE, WHICH ACCESSES TELEPHONE INTERPRETATION, HELP PROVIDE INFORMATION TO FAMILIES WITH LIMITED ENGLISH PROFICIENCY. INFORMATION ABOUT FINANCIAL ASSISTANCE AND AN APPLICATION FORM IS ALSO AVAILABLE ON THE HOSPITAL WEBSITE. ALL REGISTRATION DESKS HAVE FINANCIAL ASSISTANCE INFORMATION VISIBLE AND AVAILABLE. EVERY INPATIENT AND EMERGENCY DEPARTMENT FAMILY IS OFFERED FINANCIAL ASSISTANCE INFORMATION, WHETHER OR NOT THEY HAVE INSURANCE. ALL HOSPITAL BILLS INCLUDE A STATEMENT ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE IF HELP IS NEEDED IN PAYING A BILL, REGARDLESS OF INSURANCE STATUS. FINANCIAL COUNSELORS ARE AVAILABLE TO MEET INDIVIDUALLY WITH FAMILIES TO HELP DETERMINE WHAT ASSISTANCE THEY MAY QUALIFY FOR AND TO HELP THEM COMPLETE AND SUBMIT FORMS. THEY ARE LOCATED ON THE SEATTLE CHILDREN'S MAIN CAMPUS NEXT TO THE AMBULATORY CHECK IN AREA TO FACILITATE ACCESS. THE FINANCIAL COUNSELORS RECEIVE INFORMATION THROUGH THE SCHEDULING SYSTEM THAT IDENTIFIES UNINSURED OR UNDERINSURED FAMILIES. FINANCIAL COUNSELORS CONTACT FAMILIES TO CLARIFY ASSISTANCE AVAILABLE AND TO OFFER THEIR HELP WITH APPLYING FOR ASSISTANCE. THEY HELP FAMILIES DETERMINE IF THEY QUALIFY FOR OTHER SOURCES OF FUNDING, INCLUDING MEDICAID. SOCIAL WORKERS ALSO HELP SCREEN FAMILIES FOR FINANCIAL NEEDS AND REFER PATIENTS TO FINANCIAL COUNSELORS.
    PART VI, LINE 4: SCH PRIMARILY SERVES CHILDREN FROM WASHINGTON, ALASKA, MONTANA AND IDAHO, COMPRISING THE LARGEST GEOGRAPHICAL AREA OF ANY CHILDREN'S HOSPITAL IN THE UNITED STATES. SEATTLE CHILDREN'S ORIGINAL VISION - TO CARE FOR CHILDREN REGARDLESS OF RACE, RELIGION, GENDER OR A FAMILY'S ABILITY TO PAY - STILL GUIDES THE HOSPITAL TODAY. WHILE WE PRIMARILY SERVE CHILDREN FROM BIRTH TO 21 YEARS OLD, OUR SERVICES ARE EXPANDING TO SERVE HIGH RISK PREGNANT MOTHERS AND YOUNG ADULTS SUCH AS THOSE WHO NEED CANCER CARE AND WOULD BENEFIT FROM THE EFFECTIVENESS OF PEDIATRIC PROTOCOLS. OUR PRIMARY CARE CLINIC, ODESSA BROWN CHILDREN'S CLINIC, SERVES PRIMARILY LOW INCOME FAMILIES LIVING IN CENTRAL AND SOUTHEAST SEATTLE. APPROXIMATELY 15% OF CHILDREN UNDER AGE 18 IN WASHINGTON STATE LIVE BELOW THE FEDERAL POVERTY LEVEL WHILE OVER 45% OF OUR PATIENTS ARE ON MEDICAID, A SIMILAR LOW INCOME INSURANCE PROGRAM OR WHO ARE UNINSURED.
    PART VI, LINE 6: SCH IS GOVERNED BY A BOARD OF TRUSTEES, CONSISTING BETWEEN 20-30 VOTING TRUSTEES AND ARE MEMBERS OF THE LOCAL COMMUNITY. SCH FUNCTIONS THROUGH COMMITTEES THAT ARE STAFFED WITH TRUSTEES OF RESPECTIVE BOARDS WHO HAVE SIGNIFICANT EXPERIENCE AND SKILLS REQUIRED BY THAT COMMITTEE, AND IN SOME CASES INCLUDE OUTSIDE MEMBERS WHO ARE NOT TRUSTEES WHEN THEIR KNOWLEDGE OR EXPERIENCE WOULD CONTRIBUTE TO THE WORK OF THE COMMITTEE. SCH ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO CERTAIN QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OF ITS DEPARTMENTS. SCH ALSO HAS REGIONAL STRATEGIC AFFILIATIONS WITH THE FOLLOWING ENTITIES:- UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE (UWSOM)SCH HAS HAD A FORMAL AFFILIATION WITH THE UWSOM SINCE 1974. SCH PROVIDES THE PEDIATRIC COMPONENT OF THE UWSOM UNDERGRADUATE MEDICAL EDUCATION PROGRAM AS WELL AS THE HOSPITAL-BASED PEDIATRIC TRAINING EXPERIENCE FOR ALL POST-GRADUATE PROGRAMS.THE UWSOM, A REGIONAL RESOURCE FOR WASHINGTON, WYOMING, ALASKA, MONTANA, AND IDAHO, IS A NATIONALLY AND INTERNATIONALLY RECOGNIZED LEADER IN MEDICAL EDUCATION, PATIENT CARE, SCIENTIFIC RESEARCH AND COMMUNITY SERVICE. THE UWSOM HAS 30 DEPARTMENTS, MANY CENTERS AND NUMEROUS AFFILIATIONS THROUGHOUT THE FIVE-STATE REGION. THE UWSOM OFFERS EXTENSIVE TRAINING PROGRAMS IN THE BASIC MEDICAL SCIENCES, PRIMARY CARE AND THE SPECIALTIES OF CLINICAL MEDICINE. IT HAS A FULL-TIME REGULAR AND RESEARCH FACULTY OF APPROXIMATELY 2,400. IN ADDITION TO TRAINING FUTURE PHYSICIANS, THE FACULTY ALSO TEACHES GRADUATE AND UNDERGRADUATE STUDENTS IN MANY DISCIPLINES, AND 4,600 VOLUNTEER AND PART-TIME CLINICAL FACULTY MEMBERS TEACH STUDENTS IN TOWNS AND CITIES ACROSS THE REGION. THE UWSOM IS AFFILIATED WITH THE 450-BED UNIVERSITY OF WASHINGTON MEDICAL CENTER AND THE 413-BED HARBORVIEW MEDICAL CENTER, WITH WHICH SCH SHARES A DESIGNATION AS A PEDIATRIC LEVEL I TRAUMA CENTER.- CHILDREN'S UNIVERSITY MEDICAL GROUP (CUMG)CHILDREN'S PHYSICIANS AND THE UNIVERSITY OF WASHINGTON (THE "UW") JOINTLY CONTROL CUMG, A WASHINGTON NONPROFIT CORPORATION AND A 501(C)(3) ORGANIZATION. CUMG IS A PEDIATRIC PRACTICE PLAN THAT EMPLOYS AND MANAGES THE CLINICAL PRACTICES OF APPROXIMATELY 495 PROFESSIONAL MEMBERS WHO ARE BOTH MEMBERS OF SCH MEDICAL STAFF AND PEDIATRIC FACULTY MEMBERS OF THE UWSOM.- PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLCSCH PARTICIPATES IN A JOINT VENTURE WITH PROVIDENCE EVERETT MEDICAL CENTER (PEMC), AN UNRELATED COMMUNITY-BASED HOSPITAL LOCATED IN EVERETT, WASHINGTON. CHILDREN'S AND PEMC EACH OWN A 50% INTEREST IN PROVIDENCE-CHILDREN'S NEONATAL SERVICES, LLC (PCNS). PCNS MANAGES THE OPERATIONS OF THE NEONATAL INTENSIVE CARE UNIT AT PEMC AND PROVIDES NEONATAL NURSE PRACTITIONER SERVICES TO PEMC.- SEATTLE CANCER CARE ALLIANCETHE SEATTLE CANCER CARE ALLIANCE (SCCA), A WASHINGTON NONPROFIT CORPORATION AND 501(C)(3) ORGANIZATION, OFFERS A COMPREHENSIVE PROGRAM OF INTEGRATED CANCER CARE SERVICES. ITS MEMBERS ARE SEATTLE CHILDREN'S HEALTHCARE SYSTEM, THE UW, AND THE FRED HUTCHINSON CANCER RESEARCH CENTER. SCCA OPERATES AN AMBULATORY CANCER CARE SERVICES FACILITY AND A 20-BED LICENSED HOSPITAL INSIDE UWMC.
Schedule H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number
91-0564748
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) ALASKA ARTS SOUTHEAST INCPO BOX 3086
SITKA,AK99835 		23-7240278 501 (C) (3) 15,000       SCHOLARSHIPS FOR CHILDREN WHO WISH TO PARTICIPATE IN THE SITKA FINE ARTS CAMP PROGRAM
(2) ALASKA NETWORK ON DOMESTIC VIOLENCE AND SEXUAL ASSAULT130 SEWARD ST STE 209
JUNEAU,AK99801 		92-0087216 501 (C) (3) 12,000       PROGRAM PROMOTING LEADERSHIP AND PREVENTING DOMESTIC VIOLENCE
(3) ALASKA COUNCIL OF SCHOOL ADMINISTRATORS326 4TH ST STE 404
JUNEAU,AK99801 		92-0073478 501 (C) (6) 25,682       JUNEAU UNITED MEDICAL PROVIDERS AND PARENTS (JUMPP) PROJECT
(4) AMERICAN HEART ASSOCIATION710 SECOND AVE STE 900
SEATTLE,WA98104 		13-5613797 501 (C) (3) 13,200       SEATTLE HEART BALL SPONSORSHIP
(5) BARTLETT REGIONAL MEDICAL CENTER3260 HOSPITAL DRIVE
JUNEAU,AK99801 		92-0118538 GOVERNMENT 15,324       NEONATAL RESUSCITATION PROGRAM
(6) BETTY ELIASON CHILD CARE CENTER607 LINCOLN ST
SITKA,AK99835 		92-0065572 501 (C) (3) 8,939       PURCHASE OF A NEW SANITIZING DISHWASHER & REFRIGERATOR
(7) BLATCHLEY MIDDLE SCHOOL601 HALIBUT POINT RD
SITKA,AK99835 		92-6000113 GOVERNMENT 20,300       "DISCOVERING YOUR POTENTIAL" AND ANTI-BULLYING PROGRAM GRANT
(8) CAMP KOREY28901 NE CARNATION FARM RD
CARNATION,WA98014 		20-3829742 501 (C) (3) 15,000       ONGOING SUPPORT FOR CAMP PROGRAMS
(9) CATHOLIC COMMUNITY SERVICE INC419 6TH STREET
JUNEAU,AK99801 		92-0042651 501 (C) (3) 15,000       EDUCATIONAL & RECREATIONAL AFTER SCHOOL PROGRAM FOR STUDENTS AND FAMILIES
(10) CITY OF SAXMANROUTE 2 BOX 1
KETCHIKAN,AK99901 		92-0041226 501 (C) (3) 22,000       BRIDGE THE YOUTH CAPACITY BUILDING PROGRAM FUNDING GAP
(11) GREATER ISSAQUAH CHAMBER OF COMMERCE155 NW GILMAN BLVD
ISSAQUAH,WA98027 		91-6056410 501 (C) (6) 5,500       SALMON DAYS FESTIVAL SPONSORSHIP
(12) GROUP HEALTH FOUNDATION320 WESTLAKE AVE N STE 100
SEATTLE,WA98109 		91-1246278 501 (C) (3) 8,750       GIFT OF HEALTH GALA SPONSORSHIP
(13) JDRF SEATTLE GUILD1215 FOURTH AVE STE 1400
SEATTLE,WA98161 		23-1907729 501 (C) (3) 25,000       DREAM GALA AND SEATTLE SWEDEN DIABETES AWARENESS DAY SPONSORSHIPS
(14) KETCHIKAN WELLNESS COALITIONPO BOX 23167
KETCHIKAN,AK99901 		27-0897521 501 (C) (3) 7,800       "BE THE CHANGE" CHALLENGE DAY FOLLOW-UP ACTIVITIES
(15) MARCH OF DIMES1904 THIRD AVE STE 230
SEATTLE,WA98101 		13-1846366 501 (C) (3) 10,550       NURSE OF THE YEAR BREAKFAST SPONSORSHIP
(16) PACIFIC HIGH SCHOOL509 LINCOLN STREET
SITKA,AK99835 		92-6000113 GOVERNMENT 24,500       "HEALTHY LUNCH, HEALTHY LIVES" PROGRAM
(17) PACIFIC SCIENCE CENTER FOUNDATION200 SECOND AVE N
SEATTLE,WA981094895 		91-0750867 501 (C) (3) 50,000       SUPPORT FOR PROFESSOR WELLBODY'S HEALTH AND WELLNESS ACADEMY EXHIBIT
(18) PELICAN CITY SCHOOL DISTRICTPO BOX 90
PELICAN,AK99832 		92-6000109 GOVERNMENT 6,000       STUDENTS TO CAREER FAIR AND JOB SHADOWING
(19) PROVIDENCE HOSPICE & HOME CARE FOUNDATION SNOHOMISH COUNTY2731 WETMORE AVE STE 500
EVERETT,WA98201 		27-2552749 501 (C) (3) 6,250       BRUNCH BY THE BAY AND PEDIATRIC LUNCHEON EVENT SPONSORSHIPS
(20) PUGET SOUND HEALTH ALLIANCE2003 WESTERN AVE STE 600
SEATTLE,WA98121 		47-0948895 501 (C) (3) 7,777       COMMUNITY CHECKUP PARTICIPATION
(21) RONALD MCDONALD HOUSE CHARITIES OF WESTERN WASHINGTON & ALASKA5130 40TH AVE NE
SEATTLE,WA98105 		91-1061043 501 (C) (3) 317,475       ONGOING SUPPORT FOR HOUSING PROGRAMS
(22) SEATTLE CANCER CARE ALLIANCE825 EASTLAKE AVE E
SEATTLE,WA98109 		91-1935159 501 (C) (3) 2,461,351       PROTON BEAM
(23) SEATTLE POLICE FOUNDATIONPO BOX 456
SEATTLE,WA98111 		91-2171529 501 (C) (3) 10,000       AWARDS BANQUET SPONSORSHIP
(24) SEATTLE UNIVERSITY901 12TH AVE / PO BOX 222000
SEATTLE,WA981221090 		91-0565006 501 (C) (3) 18,500       SEATTLE UNIVERSITY GALA SPONSORSHIP
(25) SITKA CONSERVATION SOCIETYPO BOX 6533
SITKA,AK99835 		92-0096633 501 (C) (3) 10,000       PROGRAM TO SERVE LOCALLY HARVESTED FISH IN SITKA'S SCHOOL LUNCHES
(26) SITKA SOUND SCIENCE CENTER834 LINCOLN STREET SUITE 200
SITKA,AK99835 		26-1253086 501 (C) (3) 18,618       SCHOLARSHIPS FOR MAKING WAVES SCIENCE CAMP PROGRAM
(27) SOUTHEAST ALASKA INDEPENDENT LIVING3225 HOSPITAL DRIVE SUITE 300
JUNEAU,AK99801 		92-0144370 501 (C) (3) 25,000       WHEELCHAIR ACCESSIBILITY UPGRADE TO CITY PLAYGROUND FOR CHILDREN
(28) UNIVERSITY OF WASHINGTON DENTAL FACILITY1325 FOURTH AVENUE 2000
SEATTLE,WA98101 		91-6001537 GOVERNMENT 1,000,000       GRANT FOR DEVELOPMENT OF A PEDIATRIC DENTAL FACILITY
(29) UNIVERSITY OF WASHINGTON FOUNDATION407 GERBERDING HALL
SEATTLE,WA98195 		94-3079432 501 (C) (3) 76,871       ORAL HEALTH DENTISTRY FUND, PROFESSORSHIP IN HEALTH POLICY, AND GALA SPONSORSHIP
(30) WITHIN REACH11000 LAKE CITY WAY NE 301
SEATTLE,WA981256748 		91-1443685 501 (C) (3) 15,000       IMMUNIZATION SOCIAL MARKETING CAMPAIGN AND LUNCHEON SPONSORSHIP
(31) YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF SEATTLE-KING COUNTY-SNOHOMISH COUNTY1118 FIFTH AVENUE
SEATTLE,WA98101 		91-0482890 501 (C) (3) 6,000       COMMUNITY EVENT SPONSORSHIP
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
29
3
Enter total number of other organizations ................................ . Bullet Image
2
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance













Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: A SPONSORSHIP COMMITTEE WAS ESTABLISHED BY SEATTLE CHILDREN'S HOSPITAL TO MEET REGULARLY FOR THE PURPOSE OF EVALUATING DIFFERENT OPPORTUNITIES TO SUPPORT OTHER NONPROFIT ORGANIZATIONS THROUGH PROVIDING VOLUNTEERS, GRANTS, AND SPONSORSHIPS FOR FUNDRAISING AND EDUCATIONAL EVENTS. CRITERIA USED IN THE DETERMINATION OF ASSISTANCE INCLUDE: THE ORGANIZATION'S ALIGNMENT WITH THE HOSPITAL'S CORE MISSION AND VALUES, THE DIVERSITY AND LOCATION OF THE POPULATION SERVED, AS WELL AS DOCUMENTED COMMUNITY NEED ADDRESSED BY THE ORGANIZATION.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number

91-0564748
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) THOMAS HANSEN MD (i)
(ii)		 369,272
369,271 		200,205
200,205 		0
0 		97,542
97,541 		14,820
14,821 		681,839
681,838 		0
0
(2) KELLY WALLACE (i)
(ii)		 303,521
101,173 		126,949
42,317 		0
0 		73,889
24,629 		19,929
6,643 		524,288
174,762 		0
0
(3) PATRICK HAGAN (i)
(ii)		 399,016
44,335 		195,397
21,711 		0
0 		164,823
18,314 		24,303
2,700 		783,539
87,060 		0
0
(4) DAVID FISHER MD (i)
(ii)		 427,196
47,466 		203,469
22,608 		0
0 		82,896
9,211 		24,516
2,724 		738,077
82,009 		0
0
(5) DREXEL DEFORD (i)
(ii)		 397,322
0 		163,664
0 		0
0 		75,455
0 		19,990
0 		656,431
0 		0
0
(6) SANFORD MELZER MD (i)
(ii)		 189,011
184,167 		113,388
37,796 		0
0 		61,214
32,600 		18,749
9,992 		382,362
264,555 		0
0
(7) JAMES HENDRICKS MD (i)
(ii)		 307,755
0 		110,814
0 		0
0 		56,410
0 		25,581
0 		500,560
0 		0
0
(8) LISA BRANDENBURG (i)
(ii)		 342,091
0 		138,483
0 		0
0 		64,413
0 		25,850
0 		570,837
0 		0
0
(9) JEFFREY SCONYERS (i)
(ii)		 147,873
147,873 		61,856
61,855 		0
0 		28,090
28,089 		12,725
12,725 		250,544
250,542 		0
0
(10) EDWIN WRIGHT (i)
(ii)		 305,596
0 		101,387
0 		0
0 		10,261
0 		25,481
0 		442,725
0 		0
0
(11) SUSAN HEATH (i)
(ii)		 249,612
0 		109,830
0 		0
0 		47,922
0 		17,531
0 		424,895
0 		0
0
(12) SUZANNE PETERSEN (i)
(ii)		 224,377
0 		69,839
0 		0
0 		15,985
0 		24,731
0 		334,932
0 		0
0
(13) STEVEN HURWITZ (i)
(ii)		 241,513
0 		72,063
0 		0
0 		11,125
0 		22,627
0 		347,328
0 		0
0
(14) CARA BAILEY (i)
(ii)		 221,772
0 		76,674
0 		0
0 		14,254
0 		9,643
0 		322,343
0 		0
0
(15) ERIK LAUSUND (i)
(ii)		 216,156
0 		61,893
0 		0
0 		15,579
0 		12,751
0 		306,379
0 		0
0
(16) JENNIFER ABERMANIS (i)
(ii)		 204,032
0 		71,077
0 		0
0 		15,176
0 		24,589
0 		314,874
0 		0
0
(17) CINDY EVANS (i)
(ii)		 228,140
0 		94,522
0 		0
0 		14,465
0 		17,368
0 		354,495
0 		0
0
(18) DAVID PERRY (i)
(ii)		 205,296
0 		70,210
0 		0
0 		10,118
0 		24,560
0 		310,184
0 		0
0
(19) WARREN HEWITT (i)
(ii)		 204,326
0 		55,269
0 		0
0 		14,758
0 		15,441
0 		289,794
0 		0
0
(20) JUDITH DOUGHERTY (i)
(ii)		 207,848
0 		65,504
0 		0
0 		14,373
0 		16,952
0 		304,677
0 		0
0
(21) TODD JOHNSON (i)
(ii)		 205,721
0 		71,725
0 		0
0 		11,397
0 		16,736
0 		305,579
0 		0
0
(22) CHARLES HODGE (i)
(ii)		 182,881
0 		68,093
0 		0
0 		10,460
0 		22,123
0 		283,557
0 		0
0
(23) DAVID BRAUNER (i)
(ii)		 349,266
0 		150,500
0 		0
0 		9,800
0 		19,593
0 		529,159
0 		0
0
(24) DOUGLAS PICHA (i)
(ii)		 33,608
302,469 		8,030
72,265 		0
0 		5,061
45,548 		2,556
23,009 		49,255
443,291 		0
0
(25) JOE RUTLEDGE (i)
(ii)		 348,394
0 		19,863
0 		0
0 		14,799
0 		13,295
0 		396,351
0 		0
0
(26) ANNE MANKTELOW (i)
(ii)		 361,662
0 		5,000
0 		0
0 		6,588
0 		9,304
0 		382,554
0 		0
0
(27) DONA BREKKE (i)
(ii)		 250,182
0 		102,339
0 		0
0 		10,467
0 		6,385
0 		369,373
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  PART I, LINE 1A PART I, LINE 1A: BUSINESS OR FIRST CLASS TRAVEL IS PROVIDED IN THE EVENT OF MEDICAL NECESSITY OR ON CERTAIN INTERNATIONAL FLIGHTS OF LONG DURATION. THIS IS NOT TREATED AS COMPENSATION. THE CHIEF EXECUTIVE OFFICER IS PROVIDED MEMBERSHIP TO THE RAINIER CLUB. ANNUAL DUES ARE $2,285, WHICH IS REPORTED AS IMPUTED COMPENSATION. ADDITIONALLY, JAMES HENDRICKS, A KEY EMPLOYEE, AND DOUGLAS PICHA, A HIGHEST COMPENSATED EMPLOYEE, ARE PROVIDED ROTARY CLUB MEMBERSHIPS, FOR WHICH ANNUAL DUES ARE $560 EACH.
  PART I, LINE 4B THE FOLLOWING EMPLOYEES PARTICIPATED IN, OR RECEIVED PAYMENT FROM, A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: THOMAS HANSEN MD - $188,589 KELLY WALLACE - $87,493 PATRICK HAGAN - $172,112 JAMES HENDRICKS MD - $44,784 LISA BRANDENBURG - $57,023 DREXEL DEFORD - $68,105 DAVID FISHER MD - $84,757 SUSAN HEATH - $35,908 SANFORD MELZER MD - $70,345 JEFFREY SCONYERS - $44,669 DOUGLAS PICHA - $38,458
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number
91-0564748
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A WASHINGTON HEALTH CARE FACILITIES AUTHORITY
  		91-1108929 93978HAA3 09-02-2010 77,394,750 SEE PART V SUPPLEMENTAL INFORMATION   X   X   X
B WASHINGTON HEALTH CARE FACILITIES AUTHORITY
  		91-1108929 93978HAB1 09-02-2010 46,669,601 SEE PART V SUPPLEMENTAL INFORMATION   X   X   X
C WASHINGTON HEALTH CARE FACILITIES AUTHORITY
  		91-1108929 93978EK43 04-16-2008 148,540,000 SEE PART V SUPPLEMENTAL INFORMATION   X   X   X
D WASHINGTON HEALTH CARE FACILITIES AUTHORITY
  		91-1108929 93978E586 05-29-2008 90,800,036 SEE PART V SUPPLEMENTAL INFORMATION   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
  		91-1108929 93978E584 08-19-2009 113,722,874 SEE PART V SUPPLEMENTAL INFORMATION   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 77,394,750 46,669,601 148,540,000 90,800,036
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 568,714 568,714 2,265,000 800,036
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 77,394,750      
11 Other spent proceeds . .        
12 Other unspent proceeds. . . 20,887 20,887    
13 Year of substantial completion . . . 2010 2010 2008 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X X       X  
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X   X   X
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0 % 0 % 0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X   X X     X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X X     X
b Name of provider . GOLDMAN SACHSJP
MORGAN 		 
  		GOLDMAN SACHSJP
MORGAN 		 
 
c Term of hedge . . 23.000000000000   23.000000000000  
d Was the hedge superintegrated? .   X       X    
e Was a hedge terminated? .   X       X    
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . . X   X   X   X  
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
ENTITY 1 - FIRST SCHEDULE:   PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010A (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010A BONDS"), WERE ISSUED TO REIMBURSE SEATTLE CHILDREN'S ("CHILDREN'S") FOR THE COSTS OF ACQUIRING CERTAIN REAL PROPERTY (INCLUDING LAND) TO BE DEVELOPED AND USED AS HEALTH CARE FACILITIES OF CHILDREN'S. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010B (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010B BONDS"), WERE ISSUED TO (I) REFUND, ON A CURRENT BASIS, AND DEFEASE ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 1998 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 1998 BONDS"), AND (II) PAY COST OF ISSUANCE FOR THE SERIES 2010B. THE SERIES 1998 BONDS WERE DATED NOVEMBER 17, 1998 AND THE PROCEEDS USED TO PROVIDE A PORTION OF THE FUNDING FOR A COMPREHENSIVE FACILITY RENOVATION PROGRAM THAT INCLUDED EXTENSIVE CAPITAL IMPROVEMENTS TO THE HOSPITAL'S MAIN FACILITY. LINE C, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008A/B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2008A/B BONDS") WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006A (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) AND SERIES 2006B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), EACH DATED FEBRUARY 16, 2006 (THE "SERIES 2006A/B BONDS") THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING TO ADVANCE REFUND AND DEFEASE $67 MILLION OF THE SERIES 1998 BONDS AND (II) ADVANCE REFUND AND DEFEASE $66 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2001 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2001 BONDS"), THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING FOR A $120 MILLION CAPITAL PROGRAM, (II) PAY FOR THE PREMIUM RELATING TO THE BOND INSURANCE POLICY AND (III) PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2001 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2008B BONDS, WHICH HAVE THE LATER OF THE TWO MATURITIES OF THE TWO SERIES. LINE D, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2008C BONDS") WERE ISSUED TO (I) REPAY AND RETIRE CHILDREN'S TAXABLE LINE OF CREDIT INDEBTEDNESS OWED TO WELLS FARGO BANK, N.A., WHICH INDEBTEDNESS WAS INCURRED TO REDEEM AND RETIRE THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2006C BONDS") THE PROCEEDS OF WHICH WERE USED TO PROVIDE A PORTION OF THE FUNDS NECESSARY TO CONSTRUCT, REMODEL AND/OR ACQUIRE ADDITIONAL HEALTH CARE FACILITIES FOR CHILDREN'S AND (II) TO PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2008C BONDS. PART II, PROCEEDS: COLUMN B: $46,080,000 WAS USED TO REFUND, ON A CURRENT BASIS, AND DEFEASE THE OUTSTANDING SERIES 1998 BONDS, WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2010B BONDS. COLUMN C: $146,275,000 WAS USED TO REFUND, ON A CURRENT BASIS AND REDEEM ALL OF THE OUTSTANDING SERIES 2006A AND SERIES 2006B BONDS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2008A/B BONDS. COLUMN D: $90,000,000 WAS USED TO REPAY AND RETIRE A TAXABLE LINE OF CREDIT INDEBTEDNESS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2008C BONDS. PART III, PRIVATE BUSINESS USE: LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%.
ENTITY 2 - SECOND SCHEDULE:   PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2009 (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2009 BONDS") WERE ISSUED TO PROVIDE ALL OR A PORTION OF THE FUNDS NECESSARY TO (I) PAY THE COSTS (INCLUDING NEW CAPITAL COSTS, REIMBURSEMENT COSTS, AND REFINANCING COSTS) OF ACQUIRING THE LAND FOR CONSTRUCTING AND EQUIPPING A NEW OUTPATIENT CLINIC AND AMBULATORY SURGERY FACILITY IN BELLEVUE, WASHINGTON, RENOVATING AND REMODELING VARIOUS PORTIONS OF CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS. PART II, PROCEEDS: COLUMN A: LINE 3 INCLUDES INVESTMENT EARNINGS OF $100,038. PART III, PRIVATE BUSINESS USE: LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number
91-0564748
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A WASHINGTON HEALTH CARE FACILITIES AUTHORITY
  		91-1108929 93978HAA3 09-02-2010 77,394,750 SEE PART V SUPPLEMENTAL INFORMATION   X   X   X
B WASHINGTON HEALTH CARE FACILITIES AUTHORITY
  		91-1108929 93978HAB1 09-02-2010 46,669,601 SEE PART V SUPPLEMENTAL INFORMATION   X   X   X
C WASHINGTON HEALTH CARE FACILITIES AUTHORITY
  		91-1108929 93978EK43 04-16-2008 148,540,000 SEE PART V SUPPLEMENTAL INFORMATION   X   X   X
D WASHINGTON HEALTH CARE FACILITIES AUTHORITY
  		91-1108929 93978E586 05-29-2008 90,800,036 SEE PART V SUPPLEMENTAL INFORMATION   X   X   X
WASHINGTON HEALTH CARE FACILITIES AUTHORITY
  		91-1108929 93978E584 08-19-2009 113,722,874 SEE PART V SUPPLEMENTAL INFORMATION   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . .        
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 77,394,750 46,669,601 148,540,000 90,800,036
4 Gross proceeds in reserve funds . .        
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . .        
7 Issuance costs from proceeds . . . 568,714 568,714 2,265,000 800,036
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 77,394,750      
11 Other spent proceeds . .        
12 Other unspent proceeds. . . 20,887 20,887    
13 Year of substantial completion . . . 2010 2010 2008 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X X       X  
15 Were the bonds issued as part of an advance refunding issue?   X   X   X   X
16 Has the final allocation of proceeds been made? . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X   X   X
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use?   X   X   X   X
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X   X   X
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0 % 0 % 0 %
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue?   X   X X     X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X X     X
b Name of provider . GOLDMAN SACHSJP
MORGAN 		 
  		GOLDMAN SACHSJP
MORGAN 		 
 
c Term of hedge . . 23.000000000000   23.000000000000  
d Was the hedge superintegrated? .   X       X    
e Was a hedge terminated? .   X       X    
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . . X   X   X   X  
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
ENTITY 1 - FIRST SCHEDULE:   PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010A (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010A BONDS"), WERE ISSUED TO REIMBURSE SEATTLE CHILDREN'S ("CHILDREN'S") FOR THE COSTS OF ACQUIRING CERTAIN REAL PROPERTY (INCLUDING LAND) TO BE DEVELOPED AND USED AS HEALTH CARE FACILITIES OF CHILDREN'S. LINE B, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2010B (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2010B BONDS"), WERE ISSUED TO (I) REFUND, ON A CURRENT BASIS, AND DEFEASE ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 1998 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 1998 BONDS"), AND (II) PAY COST OF ISSUANCE FOR THE SERIES 2010B. THE SERIES 1998 BONDS WERE DATED NOVEMBER 17, 1998 AND THE PROCEEDS USED TO PROVIDE A PORTION OF THE FUNDING FOR A COMPREHENSIVE FACILITY RENOVATION PROGRAM THAT INCLUDED EXTENSIVE CAPITAL IMPROVEMENTS TO THE HOSPITAL'S MAIN FACILITY. LINE C, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008A/B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2008A/B BONDS") WERE ISSUED TO REFUND, ON A CURRENT BASIS, AND REDEEM ALL OF THE OUTSTANDING WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006A (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) AND SERIES 2006B (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER), EACH DATED FEBRUARY 16, 2006 (THE "SERIES 2006A/B BONDS") THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING TO ADVANCE REFUND AND DEFEASE $67 MILLION OF THE SERIES 1998 BONDS AND (II) ADVANCE REFUND AND DEFEASE $66 MILLION OF THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2001 (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2001 BONDS"), THE PROCEEDS OF WHICH WERE USED TO PROVIDE (I) A PORTION OF THE FUNDING FOR A $120 MILLION CAPITAL PROGRAM, (II) PAY FOR THE PREMIUM RELATING TO THE BOND INSURANCE POLICY AND (III) PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2001 BONDS. THE CUSIP NUMBER IS FOR THE SERIES 2008B BONDS, WHICH HAVE THE LATER OF THE TWO MATURITIES OF THE TWO SERIES. LINE D, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2008C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2008C BONDS") WERE ISSUED TO (I) REPAY AND RETIRE CHILDREN'S TAXABLE LINE OF CREDIT INDEBTEDNESS OWED TO WELLS FARGO BANK, N.A., WHICH INDEBTEDNESS WAS INCURRED TO REDEEM AND RETIRE THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2006C (CHILDREN'S HOSPITAL AND REGIONAL MEDICAL CENTER) (THE "SERIES 2006C BONDS") THE PROCEEDS OF WHICH WERE USED TO PROVIDE A PORTION OF THE FUNDS NECESSARY TO CONSTRUCT, REMODEL AND/OR ACQUIRE ADDITIONAL HEALTH CARE FACILITIES FOR CHILDREN'S AND (II) TO PAY CERTAIN COSTS OF ISSUANCE OF THE SERIES 2008C BONDS. PART II, PROCEEDS: COLUMN B: $46,080,000 WAS USED TO REFUND, ON A CURRENT BASIS, AND DEFEASE THE OUTSTANDING SERIES 1998 BONDS, WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2010B BONDS. COLUMN C: $146,275,000 WAS USED TO REFUND, ON A CURRENT BASIS AND REDEEM ALL OF THE OUTSTANDING SERIES 2006A AND SERIES 2006B BONDS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2008A/B BONDS. COLUMN D: $90,000,000 WAS USED TO REPAY AND RETIRE A TAXABLE LINE OF CREDIT INDEBTEDNESS WITHIN 90 DAYS OF THE CLOSING OF THE SERIES 2008C BONDS. PART III, PRIVATE BUSINESS USE: LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%.
ENTITY 2 - SECOND SCHEDULE:   PART I, COLUMN F, DESCRIPTION OF PURPOSE: LINE A, THE WASHINGTON HEALTH CARE FACILITIES AUTHORITY REVENUE BONDS, SERIES 2009 (SEATTLE CHILDREN'S HOSPITAL) (THE "SERIES 2009 BONDS") WERE ISSUED TO PROVIDE ALL OR A PORTION OF THE FUNDS NECESSARY TO (I) PAY THE COSTS (INCLUDING NEW CAPITAL COSTS, REIMBURSEMENT COSTS, AND REFINANCING COSTS) OF ACQUIRING THE LAND FOR CONSTRUCTING AND EQUIPPING A NEW OUTPATIENT CLINIC AND AMBULATORY SURGERY FACILITY IN BELLEVUE, WASHINGTON, RENOVATING AND REMODELING VARIOUS PORTIONS OF CHILDREN'S EXISTING FACILITIES AT ITS SEATTLE CAMPUS, AND ACQUIRING NEW AND REPLACEMENT EQUIPMENT TO BE USED INITIALLY IN CHILDREN'S EXISTING FACILITIES ON ITS MAIN CAMPUS AND (II) PAY ISSUANCE COSTS OF THE SERIES 2009 BONDS. PART II, PROCEEDS: COLUMN A: LINE 3 INCLUDES INVESTMENT EARNINGS OF $100,038. PART III, PRIVATE BUSINESS USE: LINES 4-6: THERE IS NO PRIVATE USE PROPERTY. PERCENTAGES = 0.00%.
Schedule K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number

91-0564748
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) HOSPITAL CENTRAL SERVICES ASSOCIATION (HCSA)
  		KELLY WALLACE, CFO, IS ON THE BOARD OF HCSA. 1,723,761 SERVICES   No
(2) SEATTLE CHILDREN'S HEALTHCARE SYSTEM
  		COMMON BOARD 923,220 RENTAL REV/OP EXPS TRANSFERRED TO SCHS   No
(3) KING 5 TV
  		FAMILY MEMBER OF CYNTHIA HUFFMAN, TRUSTEE, IS CEO OF KING 5 TV. 525,000 SERVICES   No
(4) MCKINSTRY COMPANY DEAN ALLEN, TRUSTEE, IS CEO AND PART OWNER OF MCKINSTRY COMPANY. 126,571 SERVICES   No
(5) ELLEN FISCHER DR. ROB ROSKIN, TRUSTEE, IS THE SPOUSE OF ELLEN FISCHER. 111,005 EMPLOYMENT   No
(6) SARAH BOWDEN WARREN HEWITT, VP OF FINANCE, IS A FAMILY MEMBER OF SARAH BOWDEN. 49,983 EMPLOYMENT   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
NonCash Contributions
Right pointing arrow large imageComplete if the organization answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number

91-0564748
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of Contributions or items contributed 		(c)
Contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
contribution amounts
1 Art—Works of art .... X 1 14,800 MARKET VALUE
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 37 267,451 MARKET VALUE
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		X 1 44,091 MARKET VALUE
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ... X 1 20,000 MARKET VALUE
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( MICROSCOPE ) X 1 36,000 MARKET VALUE
26 Other Right pointing arrow large image( )
27 Other Right pointing arrow large image( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement ...
29
1
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1-28 that it
must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell non-cash
contributions? ............................
32a
Yes
 
b
If "Yes," describe in Part II.
33
If the organization did not report revenues in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) 2010
Schedule M (Form 990) 2010
Page 2
Part II
Supplemental Information. Complete this part to provide the information required by Part I, lines 30b,
32b, and 33. Also complete this part for any additional information.
Identifier Return Reference Explanation
METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: PART I, COLUMN (B): LINE 1 - 1 CONTRIBUTION OF AN OIL PAINTING; LINE 9 - 37 CONTRIBUTIONS OF VARIOUS AMOUNTS OF SECURITIES; LINE 11 - 1 CONTRIBUTION OF A RETURN OF LIFE INTEREST IN A CHARITABLE REMAINDER TRUST; LINE 17 - 1 CONTRIBUTION OF LAND; LINE 25 - 1 CONTRIBUTION OF AN EVOS FL DIGITAL FLUORESCENCE MICROSCOPE.
THIRD PARTY USE: PART I, LINE 32B: SEATTLE CHILDREN'S HOSPITAL FOUNDATION AND SEATTLE CHILDREN'S HOSPITAL GUILD ASSOCIATION (RELATED ORGANIZATIONS) SOLICIT BOTH CASH AND NON-CASH GIFTS ON BEHALF OF SEATTLE CHILDREN'S HOSPITAL ("THE HOSPITAL"). FOR GIFTS OF REAL ESTATE, THE HOSPITAL HIRES REALTY COMPANIES TO SELL THE REAL ESTATE.
Schedule M (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number

91-0564748
Identifier Return Reference Explanation
  FORM 990, PART I, LINE 6: SEATTLE CHILDREN'S HOSPITAL HAS A DEDICATED GROUP OF VOLUNTEERS WHO GENEROUSLY GIVE THEIR TIME AND ENERGY TO SUPPORTING THE MISSION OF THE HOSPITAL. IN FISCAL YEAR 2011, 821 VOLUNTEERS, AFTER COMPLETING A THOROUGH INTERVIEW AND TRAINING PROCESS, LOGGED 90,966 HOURS OF SERVICE IN ONE OF 80 DIFFERENT DEPARTMENTS, WITH DUTIES RANGING FROM WORKING IN THE HOSPITAL GIFT SHOP, TO ENTERTAINING PATIENTS IN THE PLAYROOM, TO HELPING WITH ADMINISTRATIVE TASKS AT A RECEPTION AREA. IN ADDITION, 30 TRUSTEES SERVED ON THE SEATTLE CHILDREN'S HOSPITAL BOARD DURING FISCAL YEAR 2011. IN ALL THAT THEY DO, OUR VOLUNTEERS ARE HIGHLY VALUED MEMBERS OF OUR HOSPITAL COMMUNITY.
FORM 990, PART VI, SECTION A, LINE 6   THE SOLE VOTING MEMBER OF SEATTLE CHILDREN'S HOSPITAL IS SEATTLE CHILDREN'S HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 7A   SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, ELECTS THE MEMBERS OF THE BOARD OF TRUSTEES (WHICH IS THE GOVERNING BODY) OF SEATTLE CHILDREN'S HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B   SEATTLE CHILDREN'S HEALTHCARE SYSTEM, AS THE SOLE MEMBER OF SEATTLE CHILDREN'S HOSPITAL, HAS THE AUTHORITY TO MAKE, ALTER, AMEND OR REPEAL THE ARTICLES OF INCORPORATION AND BYLAWS OF SEATTLE CHILDREN'S HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11   MANAGEMENT AND INDEPENDENT TAX PROFESSIONALS PRESENT AND REVIEW THE FORM 990 WITH THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF TRUSTEES. THE ENTIRE BOARD OF TRUSTEES RECEIVES COPIES OF THE FORM 990 AFTER REVIEW BY THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE, PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE.
  FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY OF SEATTLE CHILDREN'S HOSPITAL REQUIRES AN ANNUAL SURVEY OF ALL BOARD MEMBERS OF SEATTLE CHILDREN'S HOSPITAL, MEMBERS OF THE MEDICAL LEADERSHIP, STAFF MEMBERS OCCUPYING ROLES WITH A DEGREE OF AUTHORITY, AS WELL AS ALL STAFF MEMBERS PARTICIPATING IN RESEARCH ACTIVITIES AND MEMBERS OF THE HOSPITAL'S PHARMACY AND THERAPEUTICS COMMITTEE. THE SENIOR VICE PRESIDENT AND GENERAL COUNSEL, ACTING UNDER THE OVERSIGHT OF THE AUDIT AND CORPORATE RESPONSIBILITY COMMITTEE OF THE BOARD OF DIRECTORS, REVIEWS ALL DISCLOSURES AND ESTABLISHES AND OVERSEES ANY NECESSARY MANAGEMENT PLANS RELATED TO THEM. ANY COVERED PERSON OR OTHER EMPLOYEE WHO ENGAGES IN A VIOLATION OF THIS POLICY OR PURSUES A TRANSACTION OR EVENT FOLLOWING DISAPPROVAL BY THE BOARD OR THE CHIEF EXECUTIVE OFFICER MAY, IN THE DISCRETION OF THE BOARD OR THE CHIEF EXECUTIVE OFFICER IN ACCORDANCE WITH THEIR RESPECTIVE AUTHORITY, BE REMOVED IMMEDIATELY FROM HIS OR HER DUTIES WITH SEATTLE CHILDREN'S HOSPITAL AND/OR TERMINATED IN HIS OR HER EMPLOYMENT.
  FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION FALLS WITHIN THE PURVIEW OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE BOARD ENGAGES AN INDEPENDENT THIRD-PARTY EXPERT ANNUALLY TO REVIEW AND ASSESS THE EXECUTIVE COMPENSATION PROGRAM (BASE, INCENTIVE COMPENSATION, AND EMPLOYER-PAID BENEFITS) TO DETERMINE COMPETITIVENESS. THE BOARD RELIES ON THE EXPERT ANALYSIS TO DETERMINE THAT COMPENSATION IS REASONABLE AND WITHIN THE "BOUNDS OF COMPETITIVE PRACTICE" AND TO DECLARE A REBUTTABLE PRESUMPTION OF REASONABLENESS REGARDING EXECUTIVE COMPENSATION. THE COMPENSATION COMMITTEE REVIEWS THE SUMMARY DATA PROVIDED AND APPROVES BASE SALARY RECOMMENDATIONS FOR THE PRESIDENT, CHIEF EXECUTIVE OFFICER, AND OTHER "KEY" EXECUTIVES. THE FULL BOARD OF TRUSTEES REVIEWS AND FORMALLY APPROVES THE ACTIONS OF THE COMPENSATION COMMITTEE.
  FORM 990, PART VI, SECTION C, LINE 19 SEATTLE CHILDREN'S HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
  FORM 990, PART VI, LINE 1B: TRUSTEE CYNTHIA HUFFMAN IS NOT INDEPENDENT BECAUSE OF HER FAMILY RELATIONSHIP TO RAY HEACOX, THE CHIEF EXECUTIVE OFFICER OF KING 5 TV. SEATTLE CHILDREN'S HOSPITAL ENGAGES WITH KING 5 TV FOR MARKETING AND COMMUNICATION SERVICES. TRUSTEE DEAN ALLEN IS THE CHIEF EXECUTIVE OFFICER AND PART OWNER OF MCKINSTRY CO. AND IS NOT INDEPENDENT BECAUSE SEATTLE CHILDREN'S HOSPITAL ENGAGES WITH MCKINSTRY CO. ON VARIOUS CONSTRUCTION PROJECTS.
  FORM 990, PART VII, SECTION A, COLUMN (B): HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS: JIM LADD - 1 LAURIE OKI - 3 JAN SINEGAL - 1 THOMAS HANSEN - 28.5 KELLY WALLACE - 15 PATRICK HAGAN - 5 DAVID FISHER - 6 SANFORD MELZER - 14 JEFFREY SCONYERS - 27 DOUGLAS PICHA - 50.5
CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -25,807,114. CHANGE IN BENEFICIAL INTEREST IN SCHS -672,399. RESTRICTED GRANTS AND DONATIONS 36,893,177. NET ASSETS RELEASED FROM RESTRICTION -30,135,588. TOTAL TO FORM 990, PART XI, LINE 5: -19,721,924.
  SEATTLE CHILDREN'S COMMUNITY BENEFIT REPORT 2011 LETTER FROM OUR CHIEF EXECUTIVE OFFICER AT SEATTLE CHILDREN'S, WE'RE ALWAYS THINKING OF THE HEALTH AND WELL-BEING OF EVERY CHILD AND FAMILY IN THE COMMUNITY. IT IS OUR MISSION AND OUR PASSION. OUR STAFF AND FACULTY MEMBERS REACH BEYOND OUR CAMPUS EVERY DAY TO PROVIDE PROGRAMS, SERVICES, EDUCATION AND RESEARCH TO MAKE CHILDREN AND FAMILIES SAFER AND HEALTHIER WHERE THEY LIVE. OUR 2011 COMMUNITY BENEFIT REPORT DESCRIBES SOME OF THE WAYS CHILDREN'S RESPONDS TO COMMUNITY NEEDS AS WE STRIVE TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. I'M PROUD TO REPORT THAT THE TOTAL VALUE OF OUR INVESTMENT IN THE COMMUNITY IN 2011 WAS $220,035,000 - WITH A LITTLE LESS THAN HALF GOING TO UNCOMPENSATED CARE. WITH HELP FROM FAMILIES AND LEADERS IN COMMUNITY ORGANIZATIONS AND PUBLIC HEALTH AGENCIES, WE'RE "TAKING THE TEMPERATURE" OF CHILDREN AND FAMILIES WITH A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT TO MAKE SURE OUR INVESTMENT IS MEETING THEIR MOST URGENT NEEDS. ONE OF THE TOP HEALTH CONCERNS THAT HAS SURFACED IN OUR COMMUNITY HEALTH ASSESSMENT IS OBESITY. OBESITY IS AN EPIDEMIC THAT IS SWEEPING THE COUNTRY. ABOUT 11% OF HIGH SCHOOL YOUTH IN WASHINGTON STATE ARE OBESE AND 14 TO 16% ARE OVERWEIGHT. ONE IN FIVE HIGH-SCHOOL YOUTHS IN KING COUNTY IS OVERWEIGHT. ON EACH SECTION OF OUR COMMUNITY BENEFIT REPORT WE HIGHLIGHT EXAMPLES OF HOW WE ARE ADDRESSING THIS SERIOUS HEALTH ISSUE IN PARTNERSHIP WITH PUBLIC HEALTH, COMMUNITY ORGANIZATIONS AND FAMILIES. BUILDING A SAFE AND HEALTHY FUTURE FOR CHILDREN AND FAMILIES IS A BIG JOB. WE COULDN'T DO THIS WORK WITHOUT YOUR SUPPORT. THANK YOU. TOTAL 2011 VALUE TO THE COMMUNITY: $220,035,000 OUR COMMUNITY BENEFIT INVESTMENT IN PATIENT CARE AND RESEARCH, IN EDUCATING HEALTHCARE PROFESSIONALS AND IN COMMUNITY PROGRAMS AND SERVICES REFLECTS CHILDREN'S COMMITMENT TO PREVENTING, TREATING AND ELIMINATING PEDIATRIC DISEASE. LEARN MORE ABOUT THE WAYS WE BENEFIT OUR COMMUNITY AT WWW.SEATTLECHILDRENS.ORG/ABOUT/COMMUNITY-BENEFIT/. UNCOMPENSATED CARE OUR FINANCIAL ASSISTANCE PROGRAM HONORS OUR FOUNDING PROMISE TO CARE FOR EVERY CHILD WHO NEEDS US REGARDLESS OF A FAMILY'S ABILITY TO PAY. IN 2011, CHILDREN'S PROVIDED $103 MILLION IN UNCOMPENSATED CARE TO CHILDREN IN WASHINGTON, ALASKA, MONTANA AND IDAHO, ENSURING ALL OF OUR REGION'S SICK AND INJURED CHILDREN HAVE ACCESS TO THE BEST MEDICAL CARE AVAILABLE. WHEN A CHILD IS BATTLING A SERIOUS MEDICAL CONDITION, FAMILIES HAVE ENOUGH TO WORRY ABOUT WITHOUT STRESSING OVER HOW TO PAY THE HOSPITAL BILL. CHILDREN'S UNCOMPENSATED CARE PROGRAM HELPS FAMILIES FOCUS ON HEALING, NOT COST, REGARDLESS OF THEIR INSURANCE COVERAGE OR FINANCIAL CIRCUMSTANCES. CHILDREN'S UNCOMPENSATED CARE PROGRAM BRIDGES THE GROWING GAP BETWEEN MEDICAID REIMBURSEMENTS AND THE REAL COST OF TREATMENT. MEDICAID IS THE GOVERNMENT PROGRAM THAT PROVIDES MEDICAL COVERAGE AT NO OR LOW COST TO LOW-INCOME FAMILIES. NEARLY HALF OF OUR PATIENTS RECEIVED COVERAGE THROUGH MEDICAID IN 2011, AND ONLY 71% OF THE COST WAS REIMBURSED FOR THE CARE PROVIDED. OUR UNCOMPENSATED CARE PROGRAM MADE UP FOR THE SHORTFALL WHICH AMOUNTED TO $92.3 MILLION IN 2011. ANOTHER $10.7 MILLION WENT TO SUPPORT FAMILIES WITH NO ABILITY TO PAY FOR THEIR CHILD'S CARE. FEATURE: A BOY AND HIS FAMILY FIND CARE AND COMPASSION AT CHILDREN'S A BOY'S LIFE HAS BEEN FILLED WITH DOCTORS, HOSPITAL STAYS AND MEDICAL EQUIPMENT. BORN IN 2009, HE WAS DIAGNOSED PRENATALLY WITH LARGE CYSTS ON HIS CHEEK AND NECK - KNOWN AS LYMPHATIC MALFORMATIONS - AND HAS REQUIRED EXTRAORDINARY CARE FOR THE MOST BASIC THINGS, LIKE EATING AND BREATHING. BY THE END OF 2009, THE MEDICAL BILLS FOR HIS CARE OVERWHELMED HIS FAMILY. THEY APPLIED TO CHILDREN'S UNCOMPENSATED CARE PROGRAM AND WERE GRANTED FINANCIAL SUPPORT. "WE HUMBLY ACCEPTED THE HELP AND FELL TO OUR KNEES IN GRATITUDE," SAYS HIS MOTHER. "IT FEELS SO SAFE AND SECURE TO KNOW A CO-PAY WILL NEVER STAND IN THE WAY OF OUR SON'S CARE." NOW, THE FAMILY WANTS TO GIVE BACK. THEY'RE FORMING A GUILD TO SUPPORT RESEARCH FOR VASCULAR ANOMALIES. "WE FEEL DRIVEN TO HELP OTHER FAMILIES THE WAY WE'VE BEEN HELPED," SAYS HIS MOTHER. FOCUS ON OBESITY: FIGHTING FOR POLICIES THAT FIGHT OBESITY CHILDREN'S PLAYS A LEADING ROLE IN THE STATEWIDE CHILDHOOD OBESITY PREVENTION COALITION. THE COALITION'S 43 MEMBERS ADVOCATE FOR POLICIES TO BUILD A HEALTHIER GENERATION. IN 2011, THE COALITION HELPED PASS LEGISLATION TO MAKE STREETS SAFER FOR PEDESTRIANS AND BICYCLISTS, LAUNCHED A SODA FREE SUNDAYS CAMPAIGN TO RAISE AWARENESS ABOUT THE RISKS OF SUGARY DRINKS, AND HELD AN OBESITY PREVENTION SUMMIT CO-HOSTED BY CHILDREN'S AND THE AMERICAN HEART ASSOCIATION. RESEARCH RESEARCH IS ESSENTIAL IN FULFILLING CHILDREN'S MISSION TO PREVENT, TREAT AND ELIMINATE PEDIATRIC DISEASE. WE'RE COMMITTED TO TRANSLATING OUR RESEARCH INTO NEW AND BETTER THERAPIES SO THAT ALL OF OUR PATIENTS - AND CHILDREN AROUND THE WORLD - BENEFIT FROM OUR DISCOVERIES. THE SEATTLE CHILDREN'S RESEARCH INSTITUTE HAS BECOME THE LARGEST PEDIATRIC RESEARCH CENTER WEST OF THE MISSISSIPPI, AND ONE OF THE TOP FIVE IN THE NATION BASED ON FUNDING RECEIVED FROM THE NATIONAL INSTITUTES OF HEALTH (NIH). GRANTS FROM THE NIH INCREASED FROM $13 MILLION IN 2006 TO MORE THAN $52 MILLION IN FISCAL YEAR 2011. TOTAL EXTRAMURAL FUNDING GREW TO $69 MILLION IN 2011. DISCOVERY CENTRAL SEATTLE CHILDREN'S RESEARCH INSTITUTE COMPRISES NINE INTERDISCIPLINARY CENTERS AND FOUR PROGRAMS ENCOMPASSING AREAS CENTRAL TO PEDIATRIC HEALTH: CENTERS: - BEN TOWNE CENTER FOR CHILDHOOD CANCER RESEARCH - CENTER FOR CHILD HEALTH, BEHAVIOR AND DEVELOPMENT - CENTER FOR CHILDHOOD INFECTIONS AND PREMATURITY RESEARCH - CENTER FOR CLINICAL AND TRANSLATIONAL RESEARCH - CENTER FOR DEVELOPMENTAL THERAPEUTICS - CENTER FOR GENETICS AND DEVELOPMENT - CENTER FOR IMMUNITY AND IMMUNOTHERAPIES - CENTER FOR INTEGRATIVE BRAIN RESEARCH - CENTER FOR TISSUE AND CELL SCIENCES PROGRAMS: - GLOBAL ALLIANCE TO PREVENT PREMATURITY AND STILLBIRTH - NORTHWEST GENOME ENGINEERING CONSORTIUM - SCIENCE ADVENTURE LAB - TREUMAN KATZ CENTER FOR PEDIATRIC BIOETHICS PREVENTING ILLNESSES AND INJURIES ADDRESSING TEEN SUICIDE RISK TEEN SUICIDE IS A DEADLY PROBLEM IN THE UNITED STATES. ACCORDING TO THE WASHINGTON STATE DEPARTMENT OF HEALTH, SUICIDE IS THE SECOND LEADING CAUSE OF DEATH FOR YOUTH 10 TO 24 YEARS OLD IN OUR STATE. IDENTIFYING TEENS WITH SUICIDAL THOUGHTS IS CRITICAL TO PREVENTING SUICIDE, BUT A STUDY LED BY DR. CAROLYN MCCARTY SUGGESTS SUICIDAL TEENS AREN'T GETTING THE MENTAL HEALTH SERVICES THEY NEED. MCCARTY AND HER CO-INVESTIGATORS FROM THE UNIVERSITY OF WASHINGTON (UW) AND GROUP HEALTH RESEARCH INSTITUTE FOUND THAT ONLY 13% OF TEENS AGES 13 TO 18 WITH SUICIDAL THOUGHTS VISITED A MENTAL HEALTH PROFESSIONAL THROUGH THEIR HEALTH CARE NETWORK AND ONLY 16% RECEIVED SERVICES THE YEAR AFTER. THE LOW RATES ARE A STRIKING CALL TO ACTION, SAYS MCCARTY. "THESE FINDINGS UNDERSCORE THE NEED FOR PRIMARY CARE PHYSICIANS TO SCREEN FOR DEPRESSION AND SUICIDAL THOUGHTS." ESTABLISHING HIGH BLOOD PRESSURE RISK HIGH BLOOD PRESSURE AMONG CHILDREN IN THE UNITED STATES HAS INCREASED FIVE-FOLD OVER THE LAST 30 YEARS. RESEARCH LED BY DR. JOSEPH FLYNN AND A TEAM FROM JOHN HOPKINS CENTER FOUND THAT HIGH BLOOD PRESSURE MAY LEAD TO WORSE HEART TROUBLE FOR BLACK CHILDREN UNDER THE AGE OF 13 THAN FOR OTHER CHILDREN OF THE SAME AGES. THE STUDY FOUND THEY WERE TWICE AS LIKELY TO DEVELOP A DANGEROUS THICKENING OF THE HEART MUSCLE THAT IS AN EARLY AND COMMON COMPLICATION OF HIGH BLOOD PRESSURE. THE STUDY ALSO FOUND THAT BLACK TEENS HAVE HIGHER BLOOD PRESSURE OVERALL AND THAT IT REMAINED IN THE DANGEROUS RANGE LONGER THAN OTHER TEENS. "THE STUDY EMPHASIZES THE NEED FOR EARLY DIAGNOSIS AND TREATMENT OF HIGH BLOOD PRESSURE IN ALL CHILDREN, BUT PEDIATRICIANS SHOULD BE AWARE THAT BLACK CHILDREN AND TEENS MAY DEVELOP MORE SEVERE COMPLICATIONS OR DEVELOP THEM MORE QUICKLY," FLYNN SAYS. IDENTIFYING THE BEST TREATMENTS HELPING FAMILIES COPE WITH FETAL ALCOHOL SYNDROME CHILDREN WITH FETAL ALCOHOL SPECTRUM DISORDERS (FASD) ARE BORN WITH A PAINFUL LEGACY OF LIFELONG NEUROLOGICAL ISSUES RANGING FROM LEARNING DEFICITS TO MEMORY LOSS. DR. HEATHER CARMICHAEL OLSON IS LEADING AN ONGOING RESEARCH EFFORT THAT IS IMPROVING THE LIVES OF CHILDREN AND FAMILIES COPING WITH FASD. CARMICHAEL OLSON DEVELOPED A STRATEGY THAT CONNECTS FAMILIES WITH TRAINED SPECIALISTS. THE SPECIALISTS TEACH PARENTS HOW TO RECOGNIZE THEIR CHILD'S NEURODEVELOPMENTAL DISABILITIES AND ADAPT THE HOME AND SCHOOL ENVIRONMENT TO LESSEN THE IMPACT AND IMPROVE THEIR CHILD'S DAY-TO-DAY FUNCTION. FOR EXAMPLE, WHEN A PARENT ASKS A CHILD WITH FASD TO GET DRESSED, THE CHILD MIGHT NOT BE ABLE TO REMEMBER LONG ENOUGH TO COMPLETE THE REQUEST, SO PARENTS LEARN WAYS TO ADDRESS THE MEMORY PROBLEM SUCH AS HANGING A POSTER ON THE BEDROOM WALL AS A VISUAL CLUE.
    COORDINATING CARE FOR CHRONICALLY ILL CHILDREN MANAGING THE HEALTH OF A CHILD WITH A LIFELONG CHRONIC ILLNESS SUCH AS CYSTIC FIBROSIS OR TYPE 1 DIABETES IS COMPLEX AND REQUIRES COORDINATION WITH MANY DIFFERENT HEALTHCARE PROVIDERS. THESE CHILDREN OFTEN END UP IN AND OUT OF THE HOSPITAL - IN PART BECAUSE HOSPITALS LACK A CONSISTENT METHOD TO IDENTIFY THEM AND EFFICIENTLY COORDINATE THEIR CARE ONCE THEY GO HOME. A STUDY LED BY DR. JOHN NEFF USED HOSPITAL DISCHARGE DATA FROM CHILDREN'S AND ODESSA BROWN CHILDREN'S CLINIC TO DEVELOP A UNIQUE WAY TO TRACK CHILDREN WITH LIFELONG CHRONIC CONDITIONS - THE FIRST STEP TOWARD IMPROVING THEIR QUALITY OF LIFE AND REDUCING COSTS BY DECREASING READMISSIONS. LINKING CAUSE AND EFFECT BRINGING PAIN MANAGEMENT HOME DR. TONYA PALERMO IS LEADING A NATIONWIDE TRIAL OF AN ONLINE TOOL TO HELP CHILDREN MANAGE CHRONIC PAIN AT HOME. THE WEB-BASED INTERVENTION SHE DEVELOPED TEACHES CHILDREN TO USE COGNITIVE BEHAVIORAL STRATEGIES, SUCH AS PROBLEM-SOLVING AND RELAXATION TECHNIQUES, AND TEACHES PARENTS HOW TO SUPPORT THEIR CHILDREN. UP TO 40% OF CHILDREN EXPERIENCE SOME DEGREE OF CHRONIC PAIN, USUALLY HEADACHES, BACKACHES OR ABDOMINAL PAIN. IN 5% TO 10% OF CASES, THE PAIN BECOMES DISABLING, CAUSING CHILDREN TO MISS SCHOOL, STOP EXERCISING AND WITHDRAW FROM FRIENDS. PALERMO'S TOOL PROVIDES AN OPTION FOR CHILDREN WHO LACK ACCESS TO PAIN MANAGEMENT PROGRAMS IN THEIR COMMUNITY AND COULD HELP ALL CHILDREN WITH CHRONIC PAIN ADDRESS THEIR PAIN SOONER. PEOPLE MAKING A DIFFERENCE: DR. DOUG DIEKEMA PHYSICIAN HELPS MAKE SENSE OF COMPLEX ETHICAL ISSUES CARING FOR CHILDREN WITH COMPLEX ILLNESSES AND INJURIES CREATES MANY MEDICAL CHALLENGES, BUT ALSO GENERATES MANY ETHICAL QUESTIONS. ADVANCES IN MEDICAL TECHNOLOGY, FINANCIAL CONSTRAINTS AND CHANGES IN THE HEALTHCARE SYSTEM ARE CONSTANTLY RAISING NEW ISSUES. AS A BIOETHICS CONSULTANT AT SEATTLE CHILDREN'S, DR. DOUG DIEKEMA GUIDES FAMILIES, PHYSICIANS, RESEARCHERS AND INSTITUTIONS THROUGH CHALLENGING DECISIONS, SUCH AS WHAT TO DO IF FAMILIES AND DOCTORS DISAGREE ABOUT TREATMENT OR WHETHER TO TELL CHILDREN THEY'RE CARRYING A GENE THAT COULD THREATEN THEIR LIFE AS AN ADULT. "MY JOB IS TO TAKE THESE COMPLEX AND PERPLEXING ISSUES AND PRESENT THEM IN A WAY THAT PEOPLE CAN UNDERSTAND AND ACT ON," DIEKEMA SAYS. IN 2011, THE CENTER PROVIDED 31 CLINICAL BIOETHICS CONSULTS. "THERE'S MORE TO MOST MEDICAL DECISIONS THAN THE MEDICAL FACTS," DIEKEMA SAYS. "OUR ROLE IN BIOETHICS IS TO SHINE A LIGHT ON THE DIFFERENT VALUES PEOPLE BRING TO THE TABLE WHEN THEY'RE MAKING DIFFICULT CHOICES." FEATURE: WASHINGTON GLOBAL HEALTH ALLIANCE MAPPING PROJECT IMPROVING THE HEALTH OF THE WORLD'S MOST VULNERABLE POPULATIONS SEATTLE IS HOME TO A STELLAR NETWORK OF WORLD LEADERS IN GLOBAL HEALTH RESEARCH. LOCAL INSTITUTIONS, BUSINESSES AND FOUNDATIONS ARE WORKING FROM UGANDA TO THE UKRAINE TO IMPROVE THE HEALTH OF THE WORLD'S MOST VULNERABLE POPULATIONS. CHILDREN'S IS PART OF THE WASHINGTON GLOBAL HEALTH ALLIANCE MAPPING PROJECT THAT TRACKS THE ACTIVITIES OF THE STATE'S GLOBAL HEALTH ORGANIZATIONS AND FOSTERS COLLABORATION BETWEEN THEM. IN 2011, CHILDREN'S COLLABORATED WITH 70 GLOBAL HEALTH INSTITUTIONS, INCLUDING 32 INTERNATIONAL COLLABORATORS. WE WORK IN PARTNERSHIP WITH 16 COUNTRIES SUCH AS EGYPT, PAKISTAN, INDIA, BRAZIL AND MALAYSIA. DR. LISA FRENKEL AND HER COLLABORATORS AT CHILDREN'S ARE WORKING WITH INVESTIGATORS IN AFRICA, ASIA AND LATIN AMERICA TO IMPROVE THE HEALTH OF HIV-INFECTED PERSONS AND TO PREVENT MOTHER-TO-INFANT TRANSMISSION OF HIV. THEIR GOALS INCLUDE DEVELOPING AN INEXPENSIVE TEST TO DETECT WHETHER HIV-INFECTED MOTHERS ARE RESISTANT TO A COMMON ANTIRETROVIRAL THERAPY. FOCUS ON OBESITY: DO NEIGHBORHOODS AFFECT FITNESS? CHILDREN'S AND THE UW ARE STUDYING THE LINK BETWEEN A PERSON'S ACTIVITY LEVEL AND WHERE THEY LIVE. PARTICIPANTS IN THE TRAVEL ASSESSMENT AND COMMUNITY (TRAC) PROJECT, LED BY DR. BRIAN SAELENS, WILL COMPLETE SURVEYS ABOUT NEIGHBORHOOD TRANSPORTATION OPTIONS (SIDEWALKS, BIKE PATHS, BUS SERVICE, ETC.), WEAR AN ACTIVITY METER AND RECORD THEIR MODES OF TRAVEL. THE INFORMATION WILL SHOW HOW NEIGHBORHOODS COULD BECOME HEALTHIER PLACES BY PROVIDING TRANSPORTATION CHOICES THAT HELP PEOPLE STAY ACTIVE. HEALTH PROFESSIONAL EDUCATION SEATTLE CHILDREN'S IS A PLACE WHERE HEALING AND TEACHING GO HAND-IN-HAND. AS HOME TO THE ONLY PEDIATRIC RESIDENCY PROGRAM IN A FIVE-STATE REGION, WE HELP YOUNG DOCTORS IN TRAINING FROM THE UNIVERSITY OF WASHINGTON GAIN INVALUABLE EXPERIENCE CARING FOR SERIOUSLY ILL CHILDREN WHILE WORKING BESIDE WORLD-CLASS SPECIALISTS. WITH PEDIATRIC SPECIALISTS IN SHORT SUPPLY NATIONWIDE, CHILDREN'S IS A VITAL TRAINING GROUND FOR BOTH THE PEDIATRICIANS AND THE SPECIALISTS NEEDED BY FUTURE GENERATIONS OF CHILDREN. WE'RE ALSO AN IMPORTANT RESOURCE FOR THE COMMUNITY. ALL OF OUR RESIDENTS SPEND TIME WORKING IN RURAL COMMUNITIES WHERE ACCESS TO CARE CAN BE LIMITED. IN ADDITION, WE PROVIDE CONTINUING MEDICAL EDUCATION FOR COMMUNITY CLINICIANS AND OFFER PROGRAMS THAT TEACH PARENTS HOW TO BE PARTNERS IN THEIR CHILD'S HEALTH CARE. TRAINING THE NEXT GENERATION EDUCATING THE NEW CLINICIANS CHILDREN'S TRAINS TOP-NOTCH PEDIATRICIANS. WE RAISE THE LEVEL OF CARE FOR CHILDREN EVERYWHERE AND ESPECIALLY IN OUR COMMUNITY. MORE THAN HALF OF ALL GRADUATES OF THE UW PEDIATRIC RESIDENCY PROGRAM, WHICH IS BASED AT CHILDREN'S, CHOOSE TO STAY IN THE PACIFIC NORTHWEST TO PRACTICE AS PRIMARY CARE AND SUB-SPECIALTY PEDIATRICIANS. THE UW PROGRAM IS THE ONLY PEDIATRIC RESIDENCY PROGRAM IN WASHINGTON, WYOMING, ALASKA, MONTANA AND IDAHO (WWAMI REGION). IN 2011, 776 RESIDENTS FROM TRAINING PROGRAMS THROUGHOUT THE NORTHWEST ROTATED AT CHILDREN'S. BECAUSE WE OFFER FELLOWSHIPS IN MORE THAN 30 SPECIALTY AREAS, MANY RESIDENTS CONTINUE THEIR EDUCATION AT CHILDREN'S. IN JUNE 2011, 27 PHYSICIANS COMPLETED PEDIATRIC RESIDENCY (AND 1 COMPLETED PRELIMINARY TRAINING) BEFORE ENTERING INTO SUB-SPECIALTY FELLOWSHIPS AT CHILDREN'S. IN ADDITION, CHILDREN'S WAS A TRAINING SITE FOR 787 MEDICAL STUDENTS. SUPPORTING NURSING EDUCATION CHILDREN'S SUPPORTS THE EDUCATION OF NURSES AT ALL STAGES. WE HOST A FREE NURSING CAMP EVERY SUMMER WHERE HIGH SCHOOL STUDENTS SHADOW FOUR DIFFERENT NURSES OVER THREE DAYS. IN 2011, 27 STUDENTS INTERACTED WITH PATIENTS, WATCHED SURGERIES AND PARTICIPATED IN PANEL DISCUSSIONS AS THEY EXPLORED WHETHER A NURSING CAREER IS RIGHT FOR THEM. NURSES-IN-TRAINING COME TO CHILDREN'S FOR CLINICAL ROTATIONS WHERE THEY WORK ALONGSIDE OUR HIGHLY EXPERIENCED NURSING STAFF TO LEARN MORE ABOUT CARING FOR PEDIATRIC PATIENTS. WE OFFER CLINICAL PRECEPTORSHIPS TO NURSING STUDENTS AT ALL LEVELS, FROM BACCALAUREATE TO DOCTORAL PROGRAMS. CHILDREN'S NURSES SERVE AS INVITED LECTURERS AT NURSING PROGRAMS ACROSS THE REGION. WE ALSO HELP EDUCATE STUDENT NURSES AT OTHER HOSPITALS THROUGH OUR OUTREACH PROGRAMS. PEDIATRIC NURSING GROUND ROUNDS PROVIDE COMMUNITY NURSES THROUGHOUT THE REGION WITH THE LATEST INFORMATION ABOUT PEDIATRIC NURSING AND DIFFERENT HEALTH CONDITIONS. THE PRESENTATIONS TAKE PLACE NINE TIMES A YEAR AT CHILDREN'S AND ARE BROADCAST TO 47 SITES AROUND THE REGION AND ARCHIVED ONLINE. IN ADDITION, CHILDREN'S COLLABORATES WITH THE STATE DEPARTMENT OF HEALTH AND OFFICE OF SUPERINTENDENT OF PUBLIC INSTRUCTION TO SPONSOR AN ANNUAL TELECONFERENCE BROADCAST TO SCHOOL DISTRICTS AND PUBLIC HEALTH NURSES ACROSS THE STATE. IN 2011, THE TELECONFERENCE FOCUSED ON PEDIATRIC NEUROLOGICAL CASE REVIEWS. EDUCATING HEALTHCARE PROFESSIONALS HELPING RESEARCHERS COMMUNICATE CLEARLY PATIENTS MUST GIVE THEIR INFORMED CONSENT BEFORE PARTICIPATING IN RESEARCH. BUT THAT CAN BE DIFFICULT SINCE MANY CONSENT FORMS ARE FULL OF MEDICAL JARGON AND EXCEED THE READING LEVEL OF MANY ADULTS. A NEW ONLINE COURSE, FREE AND AVAILABLE TO ANY RESEARCHER, SHOWS HOW TO USE PLAIN LANGUAGE IN INFORMED CONSENT FORMS AND OTHER COMMUNICATIONS SO THAT STUDY PARTICIPANTS CAN UNDERSTAND THESE DOCUMENTS. THE COURSE USES CONCRETE EXAMPLES TO HELP RESEARCHERS TRANSITION FROM WRITING FOR ACADEMIC JOURNALS TO WRITING FOR THE PATIENTS AND FAMILIES. THE COURSE WAS DEVELOPED BY THE GROUP HEALTH RESEARCH INSTITUTE AND THE INSTITUTE FOR TRANSLATIONAL HEALTH SCIENCES, A PARTNERSHIP INVOLVING CHILDREN'S, THE UW, FRED HUTCHINSON CANCER RESEARCH CENTER AND OTHERS. PROVIDING A WAY TO TEST FOR TEEN DEPRESSION DEPRESSION IS COMMON IN TEENAGERS, BUT PRIMARY CARE DOCTORS HAVE LACKED A RELIABLE WAY TO SCREEN FOR IT - UNTIL NOW. DR. LAURA RICHARDSON AND COLLEAGUES AT CHILDREN'S, THE UW AND GROUP HEALTH RESEARCH INSTITUTE DETERMINED THAT A QUESTIONNAIRE COMMONLY USED TO SCREEN ADULTS FOR DEPRESSION ALSO WORKS WELL WITH TEENS. THE FINDINGS WERE BASED ON A STUDY OF 442 TEENS 13 TO 17 YEARS OLD. THE SCREENING TOOL - KNOWN AS THE PHQ-9 - IS EASY TO SCORE AND INTERPRET AND FREELY AVAILABLE ONLINE.
    SHARING EXPERTISE ABOUT KIDS WITH SPECIAL NEEDS HELPING CHILDREN WITH DEVELOPMENTAL DISABILITIES GROW UP TO REACH THEIR FULL POTENTIAL IS A TEAM EFFORT THAT INVOLVES THEIR FAMILIES AND NUMEROUS MEDICAL SPECIALISTS. SINCE 1977, CHILDREN'S HAS HOSTED THE ANNUAL DUNCAN SEMINAR, AN INTERDISCIPLINARY CONFERENCE WHERE HOSPITAL STAFF AND FACULTY, COMMUNITY HEALTHCARE PROVIDERS AND FAMILIES COME TO LEARN NEW SKILLS AND SHARE EXPERIENCES. "WE'RE ALL WORKING TOGETHER TO DEVELOP HAPPY, PRODUCTIVE ADULTS, AND OUR GOAL IS FOR NO ONE TO FALL SHORT, WHILE BEING REALISTIC ABOUT EACH INDIVIDUAL'S CIRCUMSTANCE," SAYS DR. JOHN MCLAUGHLIN, WHO OVERSEES THE DUNCAN SEMINAR. IN 2011, THE EVENT (ATTENDED BY 126 PEOPLE) FOCUSED ON THE UNIQUE COMMUNICATIONS CHALLENGES FACED BY CHILDREN WITH DEVELOPMENTAL DISABILITIES, WHO OFTEN MUST USE ADAPTIVE STRATEGIES AND EQUIPMENT TO EXPRESS THEMSELVES. PEOPLE MAKING A DIFFERENCE: DR. KYLE YASUDA PASSION FOR ADVOCACY DRIVES PEDIATRICIAN DR. KYLE YASUDA HAS ANSWERED COUNTLESS QUESTIONS FROM RESIDENTS DURING HIS MANY YEARS AS A TEACHING PHYSICIAN, BUT WHEN THEY ASK WHY HE BECAME A PEDIATRICIAN, "IT'S BEEN TOO LONG. I CAN'T REMEMBER," HE LAUGHS. YASUDA IS CERTAIN, THOUGH, THAT HE MADE THE RIGHT CHOICE. "I LOVE BEING AN ADVOCATE AND WORKING WITH KIDS, DOCTORS AND THE COMMUNITY TO IMPROVE CHILD HEALTH." YASUDA, WHO COMPLETED HIS OWN RESIDENCY AT CHILDREN'S IN 1983, WORKS WITH CHILDREN'S RESIDENTS AS A STAFF PEDIATRICIAN AT HARBORVIEW MEDICAL CENTER AND IN THE RESIDENCY'S COMMUNITY PEDIATRICS AND ADVOCACY PATHWAY. A HIGH POINT OF HIS CAREER CAME IN 2011 WHEN HE WAS ELECTED TO THE BOARD OF THE AMERICAN ACADEMY OF PEDIATRICS. IT'S ONE OF MANY LEADERSHIP ROLES HE'S PLAYED AT THE LOCAL, STATE AND NATIONAL LEVELS TO ADDRESS IMPORTANT PEDIATRIC HEALTH ISSUES - OFTEN IN COLLABORATION WITH CHILDREN'S. YASUDA'S ONGOING ADVOCACY AND HIS YEARS AS A PRACTICING PEDIATRICIAN MAKE HIM A COMPELLING ROLE MODEL. "THERE'S MORE TO MEDICINE THAN THE XS AND OS," HE SAYS. "I TRY TO SHARE WHAT THE HEART AND SOUL OF MEDICINE IS ALL ABOUT - UNDERSTANDING THE COMMUNITY'S NEEDS AND BUILDING GENUINE RELATIONSHIPS WITH PATIENTS AND FAMILIES." FEATURE: BROADENING THE HORIZONS OF PEDIATRIC RESIDENCY PROGRAM OFFERS DIVERSE EXPERIENCES THE RESIDENCY PROGRAM AT CHILDREN'S IS ONE OF THE MOST COMPETITIVE IN THE NATION. IN 2011, ALMOST HALF OF THE MEDICAL STUDENTS IN THE COUNTRY PLANNING TO ENTER PEDIATRICS APPLIED FOR ONE OF THE 34 SPOTS IN CHILDREN'S PROGRAM. OUR NEW ALASKA TRACK, ANNOUNCED LAST YEAR, ADDS FOUR SPOTS FOR RESIDENTS INTERESTED IN PRIMARY CARE STARTING IN 2012. RESIDENTS ON THE ALASKA TRACK WILL SPEND EIGHT MONTHS IN SEATTLE AND FOUR MONTHS IN ALASKA DURING ALL THREE YEARS OF THEIR RESIDENCY. IN ALASKA, THEY'LL PROVIDE PRIMARY CARE TO THE GENERAL POPULATION AND AT SITES SERVING THE ALASKA NATIVE POPULATION. THE ALASKA TRACK JOINS EXISTING TRAINING PATHWAYS FOR RESIDENTS INTERESTED IN COMMUNITY HEALTH, GLOBAL HEALTH AND RESEARCH. ALL OF OUR RESIDENTS SPEND TWO MONTHS WORKING WITH PRIMARY CARE PROVIDERS IN RURAL COMMUNITIES ACROSS THE WWAMI REGION, INCLUDING BELLINGHAM, PORT ANGELES AND YAKIMA, WASH. AND SANDPOINT AND POCATELLO, IDAHO. RESIDENTS WHO GO TO YAKIMA, WASH., SPEND PART OF THEIR ROTATION AT THE YAKIMA VALLEY FARM WORKERS CLINIC IN NEARBY TOPPENISH. THE WWAMI ROTATION AND ALASKA TRACK GIVE RESIDENTS UNIQUE EXPERIENCES, PROVIDE ISOLATED COMMUNITIES BETTER ACCESS TO CARE AND POTENTIALLY LEAD YOUNG DOCTORS TO ESTABLISH PRACTICES WHERE THEY'RE NEEDED MOST. FOCUS ON OBESITY: TRAINING RESIDENTS TO BUILD HEALTHY HABITS CHILDREN'S IS COLLABORATING WITH A GROUP OF CHILD CARE SITES AND PEDIATRIC CLINICS TO PROMOTE PHYSICAL ACTIVITY AND OBESITY PREVENTION FOR CHILDREN FROM BIRTH TO AGE 5. WE'RE TRAINING RESIDENTS WORKING IN CLINICS SO THEY CAN EDUCATE PARENTS AND CHILD CARE PROVIDERS ABOUT KEEPING KIDS ACTIVE AND HEALTHY. WE'RE ALSO DEVELOPING MATERIALS THAT WILL GIVE PARENTS TIPS ON HELPING THEIR CHILDREN PLAY AND INFORMATION ABOUT LOW-COST ACTIVITIES IN THEIR COMMUNITY. COMMUNITY PROGRAMS AND SERVICES CHILDREN'S WORKS IN AND WITH THE COMMUNITY TO ADDRESS THE HEALTH AND SAFETY NEEDS OF CHILDREN AND FAMILIES. WE TACKLE THE ROOT CAUSES OF ILLNESS AND INJURY, PROVIDE A VOICE FOR FAMILIES WHO ARE NOT ALWAYS HEARD, AND PROMOTE CHANGES THAT WILL LEAD TO HEALTHIER COMMUNITIES. TOGETHER WITH OUR PARTNERS, WE STRIVE TO IMPROVE ACCESS TO HEALTHCARE, PROMOTE HEALTHY CHILD DEVELOPMENT AND MEET THE SPECIAL NEEDS OF CHILDREN WITH CHRONIC CONDITIONS WHERE THEY LIVE. ADDRESSING PUBLIC HEALTH ISSUES COMMUNICATING WITH VACCINE-HESITANT PARENTS MORE THAN 6% OF WASHINGTON PARENTS OPT OUT OF REQUIRED KINDERGARTEN VACCINATIONS FOR THEIR CHILDREN - THE HIGHEST RATE OF ANY STATE IN THE COUNTRY. WHEN SOME PARENTS SKIP OR DELAY ROUTINE VACCINATIONS, IT PUTS THE COMMUNITY AT RISK OF OUTBREAKS. TO HELP VACCINE-HESITANT PARENTS MAKE AN INFORMED DECISION, CHILDREN'S JOINED GROUP HEALTH, WASHINGTON STATE DEPARTMENT OF HEALTH, WITHIN REACH AND THE COMMUNITY PEDIATRIC FOUNDATION OF WASHINGTON IN 2011 TO LAUNCH VAX NORTHWEST. VAX NORTHWEST WORKS WITH PARENTS OF VACCINATED CHILDREN TO SHARE INFORMATION ON IMMUNIZATION WITH OTHER PARENTS WHO MAY BE HESITANT TO VACCINATE THEIR CHILD. IT ALSO HAS DEVELOPED TOOLS TO HELP VACCINE PROVIDERS HAVE PRODUCTIVE CONVERSATIONS WITH PARENTS WHO ARE HESITANT ABOUT IMMUNIZATION. THIS COMES ON THE HEELS OF A NEW STATE LAW WHICH MANDATES THAT PARENTS WHO WANT TO OPT OUT MUST HAVE A VACCINE PROVIDER SIGN THE EXEMPTION FORM TO CONFIRM THEY'VE RECEIVED VACCINE BENEFIT AND RISK INFORMATION. VAX NORTHWEST IS STUDYING ITS TWO-PRONGED APPROACH OF WORKING WITH BOTH PARENTS AND PROVIDERS AND WILL SHARE WHAT IT LEARNS THROUGHOUT THE STATE AND BEYOND. DELIVERING DENTAL CARE TO CHILDREN STATEWIDE CHILDREN SHOULD BE SEEN BY A DENTIST AS SOON AS THEY HAVE TEETH, BUT THE NUMBER OF CHILDREN IN OUR STATE WHO GROW UP WITHOUT DENTAL CARE IS HEARTBREAKING. WHEN THE SMILEMOBILE ROLLS INTO A COMMUNITY, IT CAN BE THE FIRST TIME MANY CHILDREN SEE A DENTIST - AND SOMETIMES THEY ARE 18 YEARS OLD. THE SMILEMOBILE IS A 38-FOOT DENTAL CLINIC ON WHEELS SPONSORED BY CHILDREN'S AND THE WASHINGTON DENTAL SERVICE FOUNDATION THAT TRAVELS THROUGHOUT WASHINGTON PROVIDING DENTAL CARE TO CHILDREN FROM FAMILIES WITH LIMITED INCOMES. THE SMILEMOBILE HELPED 2,000 CHILDREN IN 2011 AND MORE THAN 25,000 CHILDREN SINCE HITTING THE ROAD IN 1995. THE MOBILE CLINIC PROVIDES EXAMS, PREVENTIVE CARE, FILLINGS AND MINOR ORAL SURGERY ON A SLIDING-FEE BASIS. THE SMILEMOBILE ADDRESSES A PRESSING NEED. TWO-YEAR-OLDS IN WASHINGTON ARE MORE THAN TWICE AS LIKELY AS CHILDREN ELSEWHERE IN THE NATION TO HAVE DENTAL DECAY, ACCORDING TO THE DENTAL ASSOCIATION FOUNDATION. PREVENTING DRUG AND ALCOHOL ABUSE MORE THAN 10% OF TEENS IN WASHINGTON USE PRESCRIPTION MEDICINE TO GET HIGH, AND MORE THAN THREE OUT OF FIVE TEENS SAY PAIN RELIEVERS ARE EASY TO GET FROM A PARENT'S OR GRANDPARENT'S MEDICINE CABINET, ACCORDING TO THE WASHINGTON STATE DEPARTMENT OF HEALTH. CHILDREN'S WORKS ON MANY FRONTS TO PREVENT ADOLESCENT SUBSTANCE ABUSE - INCLUDING IN THE NEIGHBORHOOD AROUND US. OUR ADOLESCENT MEDICINE DEPARTMENT OFFERS SUBSTANCE ABUSE PREVENTION AND MENTAL HEALTH SERVICES AT ECKSTEIN MIDDLE SCHOOL. WE'RE ALSO PART OF PREVENTION WORKS IN SEATTLE (WINS), A COMMUNITY COALITION FOCUSED ON FIGHTING ADOLESCENT DRUG AND ALCOHOL ABUSE IN THE NORTHEAST SEATTLE COMMUNITY. SINCE 2006, PREVENTION WINS CONDUCTS PROGRAMS SERVING FAMILIES AT ECKSTEIN - INCLUDING MAILING A SERIES OF INFORMATIONAL POSTCARDS WITH A SPECIAL FOCUS ON THE GROWING DANGER OF PRESCRIPTION DRUG ABUSE. THESE AND OTHER EFFORTS SEEM TO BE PAYING OFF. ACCORDING TO THE WASHINGTON STATE HEALTHY YOUTH SURVEY, ALCOHOL USE RATES FOR 10TH AND 12TH GRADERS IN NATHAN HALE AND ROOSEVELT HIGH SCHOOLS (WHERE ECKSTEIN STUDENTS GO TO) DROPPED BY MORE THAN 10% FROM 2006 TO 2010. REACHING OUT TO FAMILIES OF CHILDREN WITH AUTISM LEARNING THEIR CHILD HAS AUTISM IS AN EMOTIONALLY DISTRESSING PIECE OF NEWS FOR PARENTS TO RECEIVE. THEY'RE TOLD THEIR CHILD HAS A NEURODEVELOPMENTAL DISORDER WITH AN UNKNOWN CAUSE, NO KNOWN CURE AND AN UNCERTAIN TREATMENT PATH. OUR AUTISM CENTER HELPS FAMILIES COPE BY OFFERING CLASSES AND SUPPORT GROUPS. IN 2011, WE ADDED AN AUTISM BLOG. THE BLOG ENABLES AUTISM EXPERTS TO ANSWER QUESTIONS, SHARE THE LATEST NEWS AND OFFER PERSPECTIVE ON HOW TO RAISE A CHILD WITH AUTISM - EVERYTHING FROM HOW TO CHOOSE A SUMMER CAMP TO MAKING THE TRANSITION FROM PRESCHOOL TO KINDERGARTEN. ONE OUT OF EVERY 110 CHILDREN IS DIAGNOSED WITH AUTISM, ACCORDING TO THE CENTERS FOR DISEASE CONTROL AND PREVENTION, AND THERE'S A LONG LIST OF FAMILIES WAITING TO BE SEEN AT THE AUTISM CENTER. THE BLOG LETS US REACH MORE FAMILIES AND PROVIDE THE SUPPORT AND INFORMATION THEY NEED.
    PROTECTING INFANTS FROM ABUSIVE HEAD TRAUMA IN A TRAGIC PARALLEL TO THE ECONOMIC DOWNTURN, HOSPITALS HAVE BEEN TREATING A RISING NUMBER OF INFANTS FOR ABUSIVE HEAD TRAUMA, ACCORDING TO A MULTI-SITE STUDY THAT INCLUDED CHILDREN'S. THE STUDY SHOWED THE NUMBER OF CASES OF ABUSIVE HEAD TRAUMA - ALSO KNOWN AS SHAKEN BABY SYNDROME - DOUBLED BETWEEN 2007 AND 2009. FRUSTRATION OVER A CRYING BABY IS THE MOST COMMON TRIGGER FOR CAREGIVERS INFLICTING ABUSIVE HEAD INJURIES IN INFANTS. THIS ALARMING TREND LED CHILDREN'S TO FORM THE ABUSIVE HEAD TRAUMA PREVENTION TASK FORCE, A STATEWIDE NETWORK OF PROFESSIONALS AND PARENTS OF VICTIMS WORKING TO PREVENT SHAKEN BABY SYNDROME. THE TASK FORCE HAS BEEN INSTRUMENTAL IN PROVIDING EDUCATIONAL MATERIALS TO 35,000 NEW FAMILIES TO RAISE AWARENESS THAT CRYING IS NORMAL AND CAREGIVERS SHOULD DEVELOP A PLAN TO COPE WITH THE POTENTIAL FRUSTRATION. THE EDUCATIONAL MATERIALS ARE BASED ON THE PERIOD OF PURPLE CRYING EVIDENCE-BASED PROGRAM, DEVELOPED BY THE NATIONAL CENTER ON SHAKEN BABY SYNDROME. THE ACRONYM PURPLE DESCRIBES THE SPECIFIC CHARACTERISTICS OF AN INFANT'S CRYING AND REASSURES THEM THIS PERIOD WILL END. EDUCATING THE PUBLIC ABOUT DWARFISM CHILDREN'S, THE PUGET SOUND CHAPTER OF LITTLE PEOPLE OF AMERICA (LPA) AND CAFFE LADRO ESPRESSO BAR AND BAKERY KICKED OFF NATIONAL DWARFISM MONTH WITH A "STAND TALL FOR LITTLE PEOPLE" CAMPAIGN. THROUGHOUT OCTOBER, CAFFE LADRO'S 13 LOCATIONS USED CUPS THAT SHRANK THE SIZE OF THEIR SIGNATURE "TALL MAN" LOGO, ADDED THE PHRASE "STAND TALL FOR LITTLE PEOPLE" AND DIRECTED COFFEE DRINKERS TO THE PUGET SOUND CHAPTER OF LPA WEBSITE - ALL TO RAISE AWARENESS ABOUT ISSUES SURROUNDING DWARFISM OR SKELETAL DYSPLASIA. CHILDREN'S HAS ONE OF THE LARGEST SKELETAL DYSPLASIA CLINICS IN THE REGION AND CARES FOR PEOPLE OF ALL AGES WITH SKELETAL DYSPLASIA AND OTHER RARE BONE CONDITIONS. "WE HAVE A RESPONSIBILITY TO PROVIDE EXPERTISE AND COMPREHENSIVE CARE TO PATIENTS, AND TO ALSO SUPPORT THE BROADER DWARFISM COMMUNITY BY EDUCATING THE GENERAL PUBLIC," SAYS DR. MICHAEL GOLDBERG, WHO LEADS THE SKELETAL DYSPLASIA CLINIC. EDUCATING COMMUNITY MEMBERS SHARING INFORMATION THROUGH THE MEDIA CHILDREN'S IS A TRUSTED SOURCE OF INFORMATION ABOUT THE HEALTH AND SAFETY OF CHILDREN AND FAMILIES. WE USE ALL FORMS OF MEDIA TO EDUCATE THE COMMUNITY AND RESPOND TO QUESTIONS AND CONCERNS. IN 2011, WE COLLABORATED WITH KUNS/UNIVISION TV TO PRODUCE A HALF-HOUR PROGRAM IN SPANISH ABOUT DIABETES. THE PROGRAM TOLD THE STORIES OF THREE LATINO PATIENTS AND EMPHASIZED THAT IT TAKES A TEAM - INCLUDING THE FAMILY - TO PROVIDE THE CARE AND SUPPORT NEEDED BY DIABETES PATIENTS. WE WORKED WITH KING-TV TO AIR 30 SHORT HEALTHLINK SEGMENTS ABOUT TYPICAL CHILDHOOD AND PARENTING CONCERNS, AS WELL AS TWO HOUR-LONG SPECIALS - ONE ABOUT TEEN HEALTH ISSUES AND ANOTHER ABOUT HOW STAFF, PATIENTS AND VOLUNTEERS SUPPORT THE HOSPITAL. WE PRODUCED FOUR ISSUES OF GOOD GROWING NEWSLETTER - DISTRIBUTED ONLINE AND THROUGH PARENTMAP MAGAZINE -AND SIX ISSUES OF MY GOOD GROWING, AN EMAIL NEWSLETTER PROVIDING CHILD HEALTH AND SAFETY INFORMATION. WE ALSO CONTINUED TO EXPAND OUR USE OF SOCIAL MEDIA TO INTERACT WITH THE COMMUNITY - AND HELP FAMILIES SHARE EXPERIENCES WITH OTHER FAMILIES - THROUGH BLOGS (TEENOLOGY 101, SEATTLE MAMA DOC, AUTISM), FACEBOOK, TWITTER AND YOUTUBE (WHERE WE'VE POSTED MORE THAN 300 VIDEOS). SUPPORTING TEENS AND YOUNG ADULTS WITH CANCER WITH THE MANY LIFE CHANGES TEENS AND YOUNG ADULTS GO THROUGH, SUPPORT FROM PEERS IS ALWAYS IMPORTANT, BUT IT'S EVEN MORE IMPORTANT FOR YOUNG PEOPLE FIGHTING CANCER. TO HELP MEET THEIR UNIQUE NEEDS, CHILDREN'S RELEASED A NEW VIDEO SERIES ON YOU TUBE CALLED "GOOD TIMES AND BALD TIMES." THE VIDEOS FEATURE SEVEN CANCER SURVIVALS FROM THE ADOLESCENT AND YOUNG ADULT (AYA) ONCOLOGY PROGRAM TALKING ABOUT THEIR CANCER EXPERIENCES IN CANDID GROUP DISCUSSIONS KNOWN AS TEEN TALKING CIRCLES (TTC). "USING THE TTC APPROACH FOR TEENS WITH CANCER IS NEW," SAYS LEAH KROON, A NURSE WITH THE AYA TEAM, "BUT IT'S A SAFE WAY FOR THEM TO TALK ABOUT THEIR EXPERIENCES AND A GREAT PLATFORM FOR REACHING OTHER TEENS WITH CANCER." THE 12 VIDEOS ADDRESS TOPICS RANGING FROM DEALING WITH SCHOOL TO FERTILITY ISSUES SUCH AS SPERM BANKING AND EGG PRESERVATION. "IT'S SO IMPORTANT THAT TEENS AND YOUNG ADULTS WITH CANCER KNOW THERE ARE PEERS OUT THERE WHO KNOW WHAT THEY'RE GOING THROUGH," SAYS DR. REBECCA JOHNSON, WHO LEADS THE AYA ONCOLOGY PROGRAM. PEOPLE MAKING A DIFFERENCE: REGIONAL CARE COORDINATORS FINDING HEALING IN A BOWL OF MOOSE SOUP MEDICINE COMES IN MANY FORMS. AN ALASKA NATIVE BOY FOUND HEALING IN A BOWL OF MOOSE SOUP, THANKS TO KATHY SALMONSON, A REGIONAL CARE COORDINATOR FROM CHILDREN'S. THE BOY - WHO NEEDED A LIVER TRANSPLANT - CAME TO CHILDREN'S FROM A SMALL VILLAGE IN ALASKA. AS THE 12-YEAR-OLD RECUPERATED FROM SURGERY, HE WASN'T EATING MUCH. FOOD HERE WAS JUST TOO DIFFERENT FROM WHAT HE WAS USED TO BACK HOME. THE ONLY FOOD HE WANTED WAS MOOSE SOUP. WHEN SALMONSON LEARNED OF HIS REQUEST, SHE USED HER CONTACTS HERE AND IN ALASKA TO OBTAIN NATIVE INGREDIENTS FOR THE DISH. LOCAL ALASKA NATIVE COMMUNITY MEMBERS COOKED AND PREPARED FOOD TO BRING TO HIM AND HIS FAMILY. HE STARTED EATING AGAIN AFTER RECEIVING FOODS FROM HOME. CHILDREN'S IS THE PEDIATRIC REFERRAL CENTER FOR A FOURSTATE REGION, SO WE CARE FOR MANY CHILDREN LIKE THIS PATIENT WHO COME FROM SMALL AND DISTANT COMMUNITIES. OUR REGIONAL NURSE CARE COORDINATORS, SALMONSON WITH ALASKA AND MONTANA AND CATE FAIRHEAD WITH CENTRAL WASHINGTON, SERVE AS A LINK BETWEEN HOME AND HOSPITAL. THEIR MAIN JOB IS TO SUPPORT COMMUNICATION, SYSTEM NAVIGATION, CARE COORDINATION AND DISCHARGE PLANNING BETWEEN CHILDREN'S AND CARE PROVIDERS IN THEIR RESPECTIVE REGION. AS PART OF COORDINATING FOLLOWUP CARE FOR DISCHARGED PATIENTS, SALMONSON AND FAIRHEAD PROVIDE SUPPORT TO FAMILIES DURING THEIR STAY HERE. "IT'S REALLY IMPORTANT TO TAKE THE TIME TO LISTEN AND BE AWARE OF HOW FAR FROM HOME SOME FAMILIES ARE AND HOW SCARY THIS ALL IS," SALMONSON SAYS. "WE TRY OUR BEST TO MAKE A DIFFERENCE FOR FAMILIES DURING A DIFFICULT TIME IN THEIR LIVES." FEATURE: FAMILIES FIND STRENGTH IN SUPPORT GROUPS WHEN LYNN VIGO JOINED CHILDREN'S FIVE YEARS AGO, SHE KNEW FROM EXPERIENCE THAT PARENTS OF CHILDREN WITH AUTISM LACKED OPPORTUNITIES TO LEAN ON AND LEARN FROM EACH OTHER - BECAUSE HER DAUGHTER HAS AUTISM. "RAISING A CHILD WITH AUTISM CAN BE ISOLATING," VIGO SAYS. "PARENTS NEED A PLACE TO SHARE CHALLENGES AND SUCCESSES AND KNOW THEY'RE NOT ALONE, BUT THE DEMAND WASN'T BEING MET." NOW A FAMILY ADVOCATE WITH CHILDREN'S AUTISM CENTER, VIGO STARTED AUTISM LIVING LIFE & YOU (ALLY), A MONTHLY SUPPORT GROUP FOR PARENTS OF CHILDREN SIGNIFICANTLY AFFECTED BY AUTISM. ALLY IS NOW UP TO FOUR DIFFERENT GROUPS. CHILDREN'S ALSO SPONSORS SUPPORT GROUPS FOR PARENTS OF CHILDREN WITH ARTHROGRYPOSIS (A DEBILITATING CONTRACTION OF THE MUSCLES); PARENTS OF INFANTS, TODDLERS AND PRESCHOOLERS WITH DIABETES; SIBLINGS OF CHILDREN WITH SPECIAL NEEDS; AND FAMILIES WHO HAVE EXPERIENCED A CHILD'S DEATH. IN ADDITION, WE PROVIDE SPACE FOR NUMEROUS INDEPENDENT SUPPORT GROUPS TO MEET. FOCUS ON OBESITY: EVERYONE SWIMS SWIMMING IS A GOOD WAY TO GET THE EXERCISE NEEDED TO FIGHT OBESITY, AND KNOWING HOW TO SWIM HELPS PROTECT CHILDREN FROM DROWNING. IN 2011, CHILDREN'S WORKED WITH POOLS, COMMUNITY HEALTH CLINICS AND MANY OTHER ORGANIZATIONS ON EVERYONE SWIMS, A PROGRAM TO INCREASE ACCESS TO SWIMMING AND WATER RECREATION FOR LOW-INCOME AND CULTURALLY DIVERSE FAMILIES. WE'RE WORKING WITH PARTNERS LIKE SEATTLE PARKS AND RECREATION TO INCREASE THE NUMBER OF SCHOLARSHIPS FOR SWIMMING LESSONS AND MAKE PEOPLE AWARE OF SWIMMING OPPORTUNITIES IN THEIR COMMUNITIES. IN SEATTLE'S CENTRAL DISTRICT, FOR EXAMPLE, ODESSA BROWN CHILDREN'S CLINIC AND MEDGAR EVERS POOL WORK TOGETHER TO OFFER SWIM LESSONS FOR OBCC PATIENTS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
SEATTLE CHILDREN'S HOSPITAL
 
Employer identification number

91-0564748
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) SEATTLE CHILDREN'S RESEARCH HOLDINGS LLC
PO BOX 5371 MS RC-507
SEATTLE,WA981455005
91-0564748 		PROPERTY DEVELOPMENT AND OPERATION WA 1,590,519 28,201,299 N/A










Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) SEATTLE CHILDREN'S HEALTHCARE SYSTEM

PO BOX 5371 MS RC-507

SEATTLE,WA981455005
91-1250116 		HEALTH CARE WA 501(C) (3) 7 N/A
 
No
(2) SEATTLE CHILDREN'S HOSPITAL FOUNDATION

PO BOX 5371 MS RC-507

SEATTLE,WA981455005
91-1156519 		FUNDRAISING WA 501(C) (3) 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM
 
 
No
(3) SEATTLE CHILDREN'S HOSPITAL GUILD ASSN

PO BOX 5371 MS RC-507

SEATTLE,WA981455005
91-1394056 		FUNDRAISING, CHILD ADVOCACY, AND PEDIATRIC HEALTH AWARENESS WA 501(C) (3) 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM
 
 
No
(4) CHILDREN'S RETAIL

PO BOX 5371 MS RC-507

SEATTLE,WA981455005
91-1998909 		THRIFT STORES WA 501(C) (3) LINE 11 - TYPE I SEATTLE CHILDREN'S HEALTHCARE SYSTEM
 
 
No
(5) CHILDREN'S PHYSICIANS

PO BOX 5371 MS RC-507

SEATTLE,WA981455005
91-1348125 		MEDICAL PRACTICE WA 501(C) (3) 7 SEATTLE CHILDREN'S HEALTHCARE SYSTEM
 
 
No
(6) CHILDREN'S UNIVERSITY MEDICAL GROUP

PO BOX 50010

SEATTLE,WA98105
91-1336707 		MEDICAL PRACTICE WA 501(C) (3) LINE 11, TYPE I N/A
 
No
(7) CHILDREN'S HEALTH NETWORK

PO BOX 5371 MS RC-507

SEATTLE,WA981455005
91-1226716 		PEDIATRIC HEALTHCARE SERVICES WA 501(C) (3) LINE 11, TYPE I SEATTLE CHILDREN'S HEALTHCARE SYSTEM
 
 
No
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) SEATTLE CHILDRENS'S RESEARCH INVESTORS LLC

PO BOX 5371 MS RC-507
SEATTLE,WA981455005
26-3852796 		RESEARCH FACILITY DEVELOPMENT WA SEATTLE CHILDREN'S HEALTHCARE SYSTEM
  		RELATED 4,462 235,399   No     No 1.000 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership












Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
Yes
 
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1)
(2)
(3)
(4)
(5)
(6)
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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